Keiichiro Omori Md in Anaheim - Non-pharmacy Dispensing Site
Keiichiro Omori Md - NPI 1821171158
Keiichiro Omori Md is a Non-pharmacy Dispensing Site in Anaheim, California. Keiichiro Omori Md practices all healthcare services and medical treatments related to Non-pharmacy Dispensing Site. The NPI Number for Keiichiro Omori Md is 1821171158. The last update date is 2020-08-22.
Keiichiro Omori Md's current location address is 1801 W Romneya Dr Ste 407, Anaheim, California. You can contact this provider via phone number 7145333870 and fax number 7145336714. The mailing address for Keiichiro Omori Md is 1801 W Romneya Dr Ste 407, Anaheim, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Keiichiro Omori Md |
|---|---|
| Address | 1801 W Romneya Dr Ste 407, Anaheim, California |
| Phone Number | 7145333870 |
| Fax Number | 7145336714 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGED CA |
|---|---|
| Authorized Official Name | Shackelford Direndia |
| Telephone Number | 8006540889 |
NPI Number Detail
| NPI Number | 1821171158 |
|---|---|
| Provider Enumeration Date | 2006-10-23 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1801 W Romneya Dr Ste 407 |
|---|---|
| City | Anaheim |
| State | California (CA) |
| Post Code | 928011827 |
| Phone Number | 7145333870 |
| Fax Number | 7145336714 |
Provider's Primary Taxonomy Detail
| Speciality | Non-pharmacy Dispensing Site |
|---|---|
| Taxonomy | 332900000X |
| Licence No | A26248 |
|
Definition: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 558710 | OTHER ID NUMBER-COMMERCIAL NUM |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Keiichiro Omori Md by the Centers for Medicare & Medicaid Services?
The Keiichiro Omori Md has been assigned the NPI (National Provider Identifier) 1821171158 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Keiichiro Omori Md?
The Keiichiro Omori Md is situated at 1801 W Romneya Dr Ste 407, in the city of Anaheim, state of CA, with the zip code 928011827.
What is Keiichiro Omori Md's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Keiichiro Omori Md is Non-pharmacy Dispensing Site, and the taxonomy classification code that categorizes this area of expertise is 332900000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1821171158 to Keiichiro Omori Md?
The Centers for Medicare & Medicaid Services assigned the 1821171158 to Keiichiro Omori Md on 2006-10-23.
When was the information related to Keiichiro Omori Md most recently updated or refreshed?
The details pertaining to the Keiichiro Omori Md, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.