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KEIICHIRO OMORI MD NPI 1821171158


NPI Information

NPI: 1821171158
Provider Name: KEIICHIRO OMORI MD

Doing Business As: KEIICHIRO OMORI MD

Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization
Address:
1801 W ROMNEYA DR STE 407
ANAHEIM, CA
ZIP 92801
Phone: (714) 533-3870
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KEIICHIRO OMORI MD is a non pharmacy dispensing site in Anaheim, CA. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) KEIICHIRO OMORI MD NPI is 1821171158. The provider is registered as an organization entity type.
The provider Is Doing Business As Keiichiro Omori Md.

The provider's business location address is:

1801 W ROMNEYA DR STE 407
ANAHEIM, CA
ZIP 92801-827
Phone: (714) 533-3870
Fax: (714) 533-6714

The provider's authorized official is Direndia Shackelford .
The authorized official title is Managed Care Specialist and has the following contact phone number (800) 654-0889.

The enumeration date for this NPI number is 10/23/2006 and was last updated on 8/22/2020.


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
1332900000XNon-Pharmacy Dispensing SiteA26248CALIFORNIAYes

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
10558710OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

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: 11/14/2023

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