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Keiichiro Omori Md
Non-Pharmacy Dispensing Site in Anaheim, California
NPI 1821171158

Keiichiro Omori Md is a Non-Pharmacy Dispensing Site based in Anaheim, CA. Keiichiro Omori Md practices in Anaheim, CA. The NPI Number for Keiichiro Omori Md is 1821171158 and holds a License No. A26248 (California).

The current practice location address for Keiichiro Omori Md is 1801 W Romneya Dr Ste 407, Anaheim, CA and can be reached out via phone at 714-533-3870 and via fax at 714-533-6714.

Location: 1801 W Romneya Dr Ste 407, Anaheim, CA, 92801-1827
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1821171158
Provider Name
Keiichiro Omori Md
Credential
Provider Entity Type
Organization
Address
1801 W Romneya Dr Ste 407, Anaheim, CA, 92801-1827
Phone Number
714-533-3870
Fax Number
714-533-6714
Provider Enumeration Date
10/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0558710 01 OTHER ID NUMBER-COMMERCIAL NUMBER
institution
Provider Business Practice Location Address Details
Address
1801 W Romneya Dr Ste 407
City
Anaheim
State
California
Zip
92801-1827
Phone Number
714-533-3870
Fax Number
714-533-6714
person
Provider Business Mailing Address Details
Address
1801 W Romneya Dr Ste 407
City
Anaheim
State
California
Zip
92801-1827
Phone Number
714-533-3870
Fax Number
714-533-6714
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
332900000X
License No.
A26248 (California)
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.)
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