Most Relevant Information
Provider Data
| NPI Number: | 1003341298 |
| Provider Name: | ESTEBAN COTA |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: | A156697 |
Most Important Dates
| Enumeration Date: | 04/25/2017 |
| Last Updated: | 09/02/2022 |
Provider Practice Location
1000 W CARSON ST
TORRANCE
CA
90502
Practice Location Phone/Fax
| Phone: | 3102222345 |
| Fax: |
Provider Mailing Location
3631 BOYCE AVE
LOS ANGELES
CA
900391807
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |