Provider Demographics
NPI:1841209475
Name:JAMES W. OCHI, MD A MEDICAL CORPORATION
Entity Type:Organization
Organization Name:JAMES W. OCHI, MD A MEDICAL CORPORATION
Other - Org Name:CHILDREN'S ENT OF SAN DIEGO, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:OCHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:858-792-4800
Mailing Address - Street 1:477 N EL CAMINO REAL
Mailing Address - Street 2:SUITE C303
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-1328
Mailing Address - Country:US
Mailing Address - Phone:858-792-4800
Mailing Address - Fax:858-259-6286
Practice Address - Street 1:477 N EL CAMINO REAL
Practice Address - Street 2:SUITE C303
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-1328
Practice Address - Country:US
Practice Address - Phone:858-792-4800
Practice Address - Fax:858-259-6286
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2011-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG55273174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G552730Medicaid