# OMAR MORA COLON, A MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235272519
- **Authorized official:** DR. OMAR A MORA COLON MD (PRESIDENT)
- **Authorized official phone:** (310) 373-4879

## Contact information

- **Practice address:** 6221 WILSHIRE BLVD, SUITE 405, LOS ANGELES, CA 90048-5201
- **Practice address phone:** (310) 373-4879
- **Practice address fax:** (310) 373-4976
- **Mailing address:** 6221 WILSHIRE BLVD, SUITE 405, LOS ANGELES, CA 90048-5201
- **Mailing address phone:** (310) 373-4879
- **Mailing address fax:** (310) 373-4976

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | A93884 | CA | Yes |

## Other

- **Enumeration date:** 02/15/2007
- **Last updated:** 07/18/2014