Organization
OMAR MORA COLON, A MEDICAL CORPORATION
Active
Organization
OMAR MORA COLON, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OMAR A MORA COLON MD (PRESIDENT)
(310) 373-4879
Entity
Organization
Contact information
Practice address
6221 WILSHIRE BLVD, SUITE 405, LOS ANGELES, CA 90048-5201
(310) 373-4879
(310) 373-4976
Mailing address
6221 WILSHIRE BLVD, SUITE 405, LOS ANGELES, CA 90048-5201
(310) 373-4879
(310) 373-4976
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A93884
CA
Other
Enumeration date
02/15/2007
Last updated
07/18/2014
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