Keiichiro Omori Md

LBN: Keiichiro Omori Md
Keiichiro Omori Md is an health care organization with primary practice located at 1801 W Romneya Dr Ste 407 , Anaheim CA 92801-1827. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Keiichiro Omori Md can be contacted via phone (714) 533-3870, or through Shackelford, Direndia via phone (800) 654-0889.

Contact Information

Primary practice address
1801 W Romneya Dr Ste 407 Anaheim CA 92801-1827
Phone: (714) 533-3870
Fax: (714) 533-6714
Website:
Map and Directions
Authorized official contact:
Name: Shackelford, Direndia
Phone: (800) 654-0889

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X A26248 California

Profile Details

NPI number 1821171158
LBN Legal business name Keiichiro Omori Md
DBA Doing business as Keiichiro Omori Md
Authorized official Shackelford, Direndia
Entity Organization
Organization subpart 1 No
Enumeration date Oct 23rd, 2006
Last updated Aug 22nd, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821171158 NPPES
Other 0558710 OTHER ID NUMBER-COMMERCIAL NUMBER

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