Organization
EDWARD OMRON, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD OMRON M.D., M.P.H. (PRESIDENT)
(408) 778-0022
Entity
Organization
Contact information
Practice address
18525 SUTTER BLVD, SUITE 180, MORGAN HILL, CA 95037-8100
(408) 778-0022
(408) 778-0055
Mailing address
18525 SUTTER BLVD, SUITE 180, MORGAN HILL, CA 95037-8100
(408) 778-0022
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
4301069097
MI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A105179
CA
207RP1001X
Pulmonary Disease Physician
4301069097
MI
207RP1001X
Pulmonary Disease Physician
Primary
A105179
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4718594
—
MI
Enumeration date
05/12/2011
Last updated
09/12/2011
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