Organization
OMID H. JAVADI PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OMID H JAVADI MD (PRESIDENT)
(224) 619-4937
Entity
Organization
Contact information
Practice address
2505 SAMARITAN DR, STE 503, SAN JOSE, CA 95124-4006
(224) 619-4937
Mailing address
6851 CANBY AVE, STE 101, RESEDA, CA 91335-4307
(818) 668-8210
(818) 668-8211
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
C55150
CA
Other
Enumeration date
11/12/2014
Last updated
03/13/2015
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