Organization
OSO HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY DOUGLAS BOHART PHARM. D (PRESIDENT)
(949) 660-7126
Entity
Organization
Contact information
Practice address
17175 GILLETTE AVE, IRVINE, CA 92614-5602
(949) 660-7126
Mailing address
17175 GILLETTE AVE, IRVINE, CA 92614-5602
(949) 660-7126
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
PHY 43383
CA
3336S0011X
Specialty Pharmacy
PHY 43383
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHA 433830
MEDI CAL
CA
Enumeration date
07/01/2006
Last updated
04/23/2015
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