Oommen, Suma
Oommen, Suma is an individual health care provider with primary practice located at 24432 Muirlands Blvd Ste 219 , Lake Forest CA 92630-3939. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Oommen, Suma can be contacted via phone (949) 852-9038.Contact Information
Primary practice address
24432 Muirlands Blvd Ste 219
Lake Forest CA 92630-3939
Phone: (949) 852-9038
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A75861 | California |
Profile Details
| NPI number | 1063431203 |
|---|---|
| LBN Legal business name | Oommen, Suma |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Jan 13th, 2023 - about 2 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 | 1063431203 | NPPES |
| California | MEDICAID | 00A758610 |
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