DR. OTHELLA THERESA OWENS (NPI# 1033138110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033138110 |
| Entity Type | Individual |
| Full Name | DR. OTHELLA THERESA OWENS |
| Credential | MD |
| Practice Address |
1127 Wilshire Blvd Suite 1604 Los Angeles CA 90017-4007 |
| Practice Telephone | 2132505470 |
| Practice Fax Number | 2132505468 |
| Mailing Telephone | 2132505470 |
| Mailing Fax Number | 2132505468 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2012-05-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
G42573 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G425730 | 05 |
| Street Address |
1127 WILSHIRE BLVD SUITE 1604 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90017-4007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114926730 | Jeffrey Merrick Sage | Ophthalmology | 1127 Wilshire Blvd, Suite 1600, Los Angeles, CA 90017-3901 | 2005-07-15 |
| 1225563281 | Jeffrey M Sage D.o. Inc. | Ophthalmology | 1127 Wilshire Blvd, Suite 1600, Los Angeles, CA 90017-3901 | 2017-04-27 |
| 1467996793 | Select Surgical, LLC | Clinic/Center | 1127 Wilshire Blvd, Suite 1000, Los Angeles, CA 90017-3901 | 2016-12-06 |
| 1427509140 | Soha Dolatabadi Md A Professional Corporation | Internal Medicine | 1127 Wilshire Blvd, Suite 708, Los Angeles, CA 90017-3901 | 2016-10-18 |
| 1558810754 | Elan Allison | Orthotist | 1127 Wilshire Blvd, 310, Los Angeles, CA 90017-3901 | 2016-09-28 |
| 1811355134 | Natasha Pejman-gonzalez | Student in an Organized Health Care Education/Training Program | 1127 Wilshire Blvd, Suite 1504, Los Angeles, CA 90017-3901 | 2016-02-01 |
| 1790158921 | Los Angeles Kidney Center A Professional Corporation | Internal Medicine | 1127 Wilshire Blvd, Suite 510, Los Angeles, CA 90017-3901 | 2015-11-10 |
| 1295110294 | Carlos S Martinez Md Inc | Internal Medicine | 1127 Wilshire Blvd, Ste 1100, Los Angeles, CA 90017-3901 | 2015-07-21 |
| 1114308905 | Connect Hearing, Inc. | Audiologist | 1127 Wilshire Blvd, Ste 1202, Los Angeles, CA 90017-4003 | 2015-06-17 |
| 1699173922 | Jah Hand Surgery | Orthopaedic Surgery | 1127 Wilshire Blvd, Suite 510, Los Angeles, CA 90017-3901 | 2014-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833617 | Guadalupe Vallejo | Licensed Vocational Nurse | 515 Columbia Avenue, #200, 515 Columbia Avenue, Los Angeles, CA 90017 | 2020-08-25 |
| 1376181768 | Nirlok Corporation | Optometrist | 750 West 7th Street, Los Angeles, CA 90017 | 2019-12-16 |
| 1689228223 | Marycarmen Beltran | Student in an Organized Health Care Education/Training Program | 333 S. Beaudry Ave., Los Angeles, CA 90017 | 2019-08-01 |
| 1639661465 | Robin B Horowitz | Counselor | 333 South Beaudry Avenue, Los Angeles, CA 90017 | 2018-06-06 |
| 1710483797 | Rose Jadidian | Pharmacist | 701 S. Flower, Ste. 3150, Los Angeles, CA 90017 | 2018-03-30 |
| 1417469875 | Marykarla Gallegos | Case Manager/Care Coordinator | 1125 W. 6th St., Suite 103, Los Angeles, CA 90017 | 2017-10-25 |
| 1134646516 | Maria Salas | Rehabilitation Practitioner | 333 S Beaudry Ave., Los Angeles, CA 90017 | 2017-08-25 |
| 1932638202 | Butterfli Technologies Inc | Transportation Broker | 865 S Figueroa St Ste 2750, Los Angeles, CA 90017 | 2017-06-08 |
| 1316493125 | Phamily Love Foundation | Community/Behavioral Health | 626 Wilshire Blvd ., Suite 910, Los Angeles, CA 90017 | 2016-08-31 |
| 1215392188 | Jessica R. Garcia-hillard | Specialist/Technologist | 1111 W. 6th St., Suite 111, Los Angeles, CA 90017 | 2015-12-21 |
| Find all providers in zip 90017 | ||||
| Taxonomy Code | 207YX0007X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Plastic Surgery within the Head & Neck |
| An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770041881 | Robotic Brain and Spine Institute Inc | Otolaryngology | 9201 W Sunset Blvd Ste 405, Los Angeles, CA 90069-3705 | 2019-03-07 |
| 1275784233 | Stephen Wayne Hargett | Otolaryngology | 1200 North State St., Los Angeles, CA 90033 | 2008-10-08 |
| 1750442448 | Gary S Bellack | Otolaryngology | 8631 W 3 Street, Ste 225, Los Angeles, CA 90048 | 2006-12-13 |
| 1134410038 | Jonathan Mallen-st. Clair | Otolaryngology | 10833 Le Conte Ave, 72-235, Los Angeles, CA 90095-1749 | 2011-04-26 |
| 1033411970 | K C Salkinder Md, Inc | Otolaryngology | 6221 Wilshire Blvd, Suite 318, Los Angeles, CA 90048-5201 | 2010-11-29 |
| 1245413103 | Ann Marie Visosky | Otolaryngology | 6041 Cadillac Ave, Los Angeles, CA 90034-1702 | 2007-12-13 |
| 1073707212 | Benjamin William Walline | Otolaryngology | 2080 Century Park E, #610, Los Angeles, CA 90067-2001 | 2007-08-30 |
| 1699829762 | Baldev Krishan Devgan | Otolaryngology | 11735 W Washington Blvd, Suite # 101, Los Angeles, CA 90066-5917 | 2007-01-23 |
| 1811045891 | Tasia S. Economou | Otolaryngology | 6041 Cadillac Ave, Los Angeles, CA 90034-1702 | 2007-01-08 |
| 1609943513 | Michael P. Mc Nicoll | Otolaryngology | 4733 W Sunset Blvd, Los Angeles, CA 90027-6021 | 2006-11-29 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90017 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.