Fadeel, Omar Othman

Fadeel, Omar Othman is an sole proprietor health care provider with primary practice located at 6900 Lincoln Ave , Buena Park CA 90620-4148. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Fadeel, Omar Othman can be contacted via phone (714) 880-3801.

Contact Information

Primary practice address
6900 Lincoln Ave Buena Park CA 90620-4148
Phone: (714) 880-3801
Fax: (714) 522-7328
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A44522 California

Profile Details

NPI number 1922060086
LBN Legal business name Fadeel, Omar Othman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2006
Last updated Dec 27th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922060086 NPPES
California MEDICAID 00A445221

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