Keiichiro Omori Md
LBN: Keiichiro Omori Md
Keiichiro Omori Md is an health care organization with primary practice located at 1801 W Romneya Dr Ste 407 , Anaheim CA 92801-1827. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty.
Keiichiro Omori Md can be contacted via phone (714) 533-3870, or through Shackelford, Direndia via phone (800) 654-0889.
Contact Information
Primary practice address
1801 W Romneya Dr Ste 407
Anaheim CA 92801-1827
Phone: (714) 533-3870
Fax: (714) 533-6714
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Non-Pharmacy Dispensing Site | 332900000X | A26248 | California |
Profile Details
| NPI number | 1821171158 |
|---|---|
| LBN Legal business name | Keiichiro Omori Md |
| DBA Doing business as | Keiichiro Omori Md |
| Authorized official | Shackelford, Direndia |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 23rd, 2006 |
| Last updated | Aug 22nd, 2020 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821171158 | NPPES |
| Other | 0558710 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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