Ted H. Omura is a Sports Physician in San Jose, California. Ted H. Omura practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Ted H. Omura is 1205837986. The last update date is 2010-09-09.
Ted H. Omura's current location address is 1609 Meridian Ave, San Jose, California. You can contact this provider via phone number 4084488818. The mailing address for Ted H. Omura is 1609 Meridian Ave, San Jose, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ted H. Omura |
|---|---|
| Address | 1609 Meridian Ave, San Jose, California |
| Phone Number | 4084488818 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1205837986 |
|---|---|
| Provider Enumeration Date | 2005-08-03 |
| Last Updated Date | 2010-09-09 |
Provider Mailing Address Detail
| Address | 1609 Meridian Ave |
|---|---|
| City | San Jose |
| State | California (CA) |
| Post Code | 951255532 |
| Phone Number | 4084488818 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | DC025988 |
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Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DC0259880 | CA | BLUE SHIELD | |
| 357446700 | CA | DEPT. OF LABOR | |
| 5708678 | CA | AETNA |
Post Comment/ Review Below
What is the unique identifier code issued to Ted H. Omura by the Centers for Medicare & Medicaid Services?
The Ted H. Omura has been assigned the NPI (National Provider Identifier) 1205837986. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Ted H. Omura's facilities are situated?
The facilities of Ted H. Omura are physically located at the following address: 1609 Meridian Ave, San Jose, CA, 951255532.
What is the Ted H. Omura's specialty and taxonomy code?
The Ted H. Omura's specialty is Sports Physician, and the corresponding taxonomy code is 111Ns0005X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1205837986 to Ted H. Omura?
The Centers for Medicare & Medicaid Services originally issued the 1205837986 to Ted H. Omura on 2005-08-03.
As of what date were the details related to Ted H. Omura most recently updated or revised?
The information pertaining to Ted H. Omura, including its address, specialty, and other relevant details, was last updated or revised on 2010-09-09.
NPI Number: 1588667679
Address: 9104 Babcock Blvd, Pittsburgh, PA