Oommen, Suma

Oommen, Suma is an individual health care provider with primary practice located at 24432 Muirlands Blvd Ste 219 , Lake Forest CA 92630-3939. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Oommen, Suma can be contacted via phone (949) 852-9038.

Contact Information

Primary practice address
24432 Muirlands Blvd Ste 219 Lake Forest CA 92630-3939
Phone: (949) 852-9038
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A75861 California

Profile Details

NPI number 1063431203
LBN Legal business name Oommen, Suma
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Jan 13th, 2023 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1063431203 NPPES
California MEDICAID 00A758610

Popular Providers