# OMID H. JAVADI PC

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

## Provider details

- **NPI number:** 1437555836
- **Authorized official:** DR. OMID H JAVADI MD (PRESIDENT)
- **Authorized official phone:** (224) 619-4937

## Contact information

- **Practice address:** 2505 SAMARITAN DR, STE 503, SAN JOSE, CA 95124-4006
- **Practice address phone:** (224) 619-4937
- **Mailing address:** 6851 CANBY AVE, STE 101, RESEDA, CA 91335-4307
- **Mailing address phone:** (818) 668-8210
- **Mailing address fax:** (818) 668-8211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | C55150 | CA | Yes |

## Other

- **Enumeration date:** 11/12/2014
- **Last updated:** 03/13/2015