Doctor Name: | DR. BRIAN S. OTA |
NPI Number: | 1902080609 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | 23084 |
Business Practice Address: | 150 E Fremont Ave Sunnyvale, CA - 940873201 |
Business Phone Number: | 4087200941 |
Business Fax Number: | 4087200943 |
Mailing Address: | 1052 E El Camino Real, SUNNYVALE |
State: | CA |
Postal Code: | 940873754 |
Phone Number: | 4082487960 |
Fax Number: | 4085540654 |
NPI Enumeration Date: | 12/18/2007 |
NPI Last Update Date: | 11/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 23084 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |