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Organization

DAVID PICELLA PHD INC

Active
Other names
Omega Healthcare
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID VINCENT PICELLA PHD, NP (PRESIDENT)
(877) 241-8200
Entity
Organization

Contact information

Practice address
1617 N GAREY AVE, POMONA, CA 91767
(877) 241-8200
(909) 245-1751
Mailing address
836 N DEL SOL LN, DIAMOND BAR, CA 91765-1105
(877) 241-8200
(909) 245-1751

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
363L00000X
Nurse Practitioner
Primary
10299
CA
364S00000X
Clinical Nurse Specialist
269
CA

Other

Enumeration date
07/03/2015
Last updated
08/03/2018
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