Individual
DR. OMID OMIDVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3791 KATELLA AVE, SUITE 106, LOS ALAMITOS, CA 90720-3105
(562) 430-3114
(562) 430-7718
Mailing address
3791 KATELLA AVE, SUITE 106, LOS ALAMITOS, CA 90720-3105
(562) 430-3114
(562) 430-7718
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A55552
CA
Other
Enumeration date
05/20/2006
Last updated
04/28/2011
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