Mahmood, Omar Mendoza
Mahmood, Omar Mendoza is an sole proprietor health care provider with primary practice located at 10801 National Boulevard Suite 611, Los Angeles CA 90064-4170. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Mahmood, Omar Mendoza can be contacted via phone (310) 273-4843.Contact Information
Primary practice address
10801 National Boulevard Suite 611
Los Angeles CA 90064-4170
Phone: (310) 273-4843
Fax: (310) 273-5056
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | PSY24715 | California |
Profile Details
| NPI number | 1326309154 |
|---|---|
| LBN Legal business name | Mahmood, Omar Mendoza |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 7th, 2012 |
| Last updated | Jul 15th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326309154 | NPPES |
| California | Other | GH439Y | MEDICARE ID |
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