Omlin, Shirley Theodora

Omlin, Shirley Theodora is an sole proprietor health care provider with primary practice located at 2101 E 1St St , Santa Ana CA 92705-4007. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Omlin, Shirley Theodora can be contacted via phone (714) 542-3581.

Contact Information

Primary practice address
2101 E 1St St Santa Ana CA 92705-4007
Phone: (714) 542-3581
Fax: (714) 542-2246
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 00501011536 California
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 00501011536 California

Profile Details

NPI number 1174063762
LBN Legal business name Omlin, Shirley Theodora
Credentials 00501011536
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2017
Last updated Mar 1st, 2017 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1174063762 NPPES
California Other 1215030861 MEDICAL

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