Organization
OMEGA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYUNG RAN TAE OTR/L (CEO)
(714) 670-0007
Entity
Organization
Contact information
Practice address
14774 BEACH BLVD, LA MIRADA, CA 90638-4250
(714) 670-0007
(714) 670-0006
Mailing address
14774 BEACH BLVD, LA MIRADA, CA 90638-4250
(714) 670-0007
(714) 670-0006
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225700000X
Massage Therapist
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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