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Organization
OMID VESAL, MD, MEDICAL CORPORATION
Active
Organization
OMID VESAL, MD, MEDICAL CORPORATION
Active
Other names
Irvine Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OMID VESAL M.D. (PRESIDENT)
(949) 222-2722
Entity
Organization
Contact information
Practice address
2500 ALTON PKWY, SUITE 101, IRVINE, CA 92606-5032
(949) 222-2722
(949) 222-9969
Mailing address
2500 ALTON PKWY, SUITE 101, IRVINE, CA 92606-5032
(949) 222-2722
(949) 222-9969
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
A73459
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A734590
—
CA
01
—
C2814009
CALIFORNIA CORPORATION NO
CA
01
—
ZZZ13101Z
BLUE SHIELD PIN
CA
Enumeration date
06/07/2006
Last updated
02/26/2021
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