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Individual
DR. OSCAR OO
Active
Individual
DR. OSCAR OO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY22699
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CS098A
MEDICARE PTAN
CA
Enumeration date
11/09/2006
Last updated
01/11/2017
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