Alpha Omega Iom A Medical Corporation
LBN: Alpha Omega Iom A Medical Corporation
Alpha Omega Iom A Medical Corporation is an health care organization with primary practice located at 5 Medical Plaza Dr Ste 120B , Roseville CA 95661-2866. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, Allopathic & Osteopathic Physicians / Neurology, Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Audiology Assistant. Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine is the primary health care specialty.
Alpha Omega Iom A Medical Corporation can be contacted via phone (916) 352-0016, or through Smith, Tyler via phone (916) 352-0016.
Contact Information
Primary practice address
5 Medical Plaza Dr Ste 120B
Roseville CA 95661-2866
Phone: (916) 352-0016
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | ||
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | ||
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | ||
| Speech, Language and Hearing Service Providers / Audiology Assistant | 2355A2700X |
Profile Details
| NPI number | 1801531090 |
|---|---|
| LBN Legal business name | Alpha Omega Iom A Medical Corporation |
| DBA Doing business as | |
| Authorized official | Smith, Tyler Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 2nd, 2022 |
| Last updated | May 2nd, 2022 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801531090 | NPPES |
| California | Other | A108880 | CA LICENSE |
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