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ALPHA OMEGA IOM A MEDICAL CORPORATION NPI 1801531090


NPI Information

NPI: 1801531090
Provider Name: ALPHA OMEGA IOM A MEDICAL CORPORATION
Classification: Orthopaedic Surgery - 207XS0117X
Entity Type: Organization

Specialization: Orthopaedic Surgery of the Spine

Address:
5 MEDICAL PLAZA DR STE 120B
ROSEVILLE, CA
ZIP 95661
Phone: (916) 352-0016
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ALPHA OMEGA IOM A MEDICAL CORPORATION is an orthopaedic surgery of the spine orthopaedic surgery in Roseville, CA. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. ALPHA OMEGA IOM A MEDICAL CORPORATION NPI is 1801531090. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5 MEDICAL PLAZA DR STE 120B
ROSEVILLE, CA
ZIP 95661-866
Phone: (916) 352-0016

The provider's authorized official is Tyler Smith .
The authorized official title is Owner and has the following contact phone number (916) 352-0016.

The enumeration date for this NPI number is 5/2/2022 and was last updated on 5/2/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurologyNo
2231H00000XAudiologistNo
32355A2700XSpecialist/TechnologistAudiology AssistantNo
4207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A108880OTHERCALIFORNIACA LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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