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DEBRA OMOTOSHO PA
NPI 1972704864
Physician Assistant in Harbor City, CA

Active since May 30, 2007
25825 VERMONT AVE, HARBOR CITY, CA 90710(310) 325-5111 Get Directions Write a Review

NPPES record last updated: September 23, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Debra Omotosho Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEBRA OMOTOSHO PA (NPI 1972704864) is an individual physician assistant in Harbor City, California, licensed in California (PA12547) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1972704864
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameDEBRA OMOTOSHOCredential: PA
Location Address25825 VERMONT AVEHarbor City, CA 90710-3518
Mailing Address25825 Vermont AveHarbor City, CA 90710-3518 · (310) 325-5111
Phone(310) 325-5111
Sole ProprietorNo
Enumeration DateMay 30, 2007
Last NPPES UpdateSeptember 23, 2008
✔ NPI 1972704864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA12547
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
25825 VERMONT AVE, Harbor City, CA 90710
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SEAN KOH PHARM.D.
Pharmacist
25825 VERMONT AVE
HARBOR CITY, CA 90710
Los Angeles County (310) 325-5111
ALYSSA QUAN PHARM.D.
Pharmacist
25825 VERMONT AVE
HARBOR CITY, CA 90710
Los Angeles County (310) 517-2238
JOYHAN JAY SUNG RRT-NPS
Respiratory Therapist, Registered (Neonatal/Pediatrics)
25825 VERMONT AVE
HARBOR CITY, CA 90710
Los Angeles County (310) 517-2648
RANDEL R. KING MD
Internal Medicine (Pulmonary Disease)
25825 VERMONT AVE
HARBOR CITY, CA 90710
Los Angeles County (310) 325-5111
TIM TAKESHI SUGIYAMA
Pharmacist
25825 VERMONT AVE
HARBOR CITY, CA 90710
Los Angeles County (310) 517-2239
RYOKEI K. IMAI MD
Internal Medicine
25825 VERMONT AVE
HARBOR CITY, CA 90710
Los Angeles County (310) 325-5111
JENNIFER WING-YUN LAM MD
Internal Medicine
25825 VERMONT AVE
HARBOR CITY, CA 90710
Los Angeles County (310) 325-5111
CHRISTOPHER LOLACHI MD
Otolaryngology (Plastic Surgery within the Head & Neck)
25825 VERMONT AVE
HARBOR CITY, CA 90710
Los Angeles County (310) 325-5111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Debra Omotosho's NPI number?

The NPI number for Debra Omotosho is 1972704864. It was assigned to this individual provider in the NPPES registry on May 30, 2007.

Where is Debra Omotosho located?

Debra Omotosho practices at 25825 Vermont Ave, Harbor City, CA 90710. The listed phone number is (310) 325-5111.

What is Debra Omotosho's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Debra Omotosho was last updated on September 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.