Azmitia, Omar Gerardo

Azmitia, Omar Gerardo is an individual health care provider with primary practice located at 34101 Farenholt Ave Surface Warfare Medicine Institute, San Diegot CA 92134. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Azmitia, Omar Gerardo can be contacted via phone (619) 532-9476.

Contact Information

Primary practice address
34101 Farenholt Ave Surface Warfare Medicine Institute San Diegot CA 92134
Phone: (619) 532-9476
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1669638722
LBN Legal business name Azmitia, Omar Gerardo
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2008
Last updated Jul 29th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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