Omar Mora Colon, A Medical Corporation

NPI 1235272519 - Physical Medicine & Rehabilitation - 208100000X

NPI Details
NPI 1235272519
Enumeration Date 02/15/2007
Last Updated 07/18/2014
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name OMAR A OMAR
Position PRESIDENT
Phone (310) 373-4879
Fax (310) 373-4976
Practice Location
6221 WILSHIRE BLVD
SUITE 405
LOS ANGELES CA, 90048-5201, US
Phone (310) 373-4879
Fax (310) 373-4976
Business Location
6221 WILSHIRE BLVD
SUITE 405
LOS ANGELES CA, 90048-5201, US
Phone (310) 373-4879
Fax (310) 373-4976
Toxanomy
Taxonomy Code 208100000X
License State California
License Number A93884
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According to our database, Omar Mora Colon, A Medical Corporation NPI is 1235272519, taxonomy code is 208100000X and license number is A93884, license state is located at California. Omar Mora Colon, A Medical Corporation physically located at 6221 Wilshire Blvd, Los Angeles CA, 90048-5201. NPI Number 1033115704 has the healthcare provider type.

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1235272519 NPI number is provided on an as is basis without warranty of any kind. 1235272519 is maintained by the National Plan & Provider Enumeration System. The contents of Omar Mora Colon, A Medical Corporation are for informational purposes only.