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Individual

DR. OMAR A MORA COLON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6221 WILSHIRE BLVD, SUITE # 405, LOS ANGELES, CA 90048-5201
(310) 373-4879
(310) 649-4603
Mailing address
6221 WILSHIRE BLVD, SUITE #405, LOS ANGELES, CA 90048-5201
(310) 373-4879
(310) 649-4603

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A93884
CA

Other

Enumeration date
06/03/2006
Last updated
07/18/2014
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