Organization
OSO SPECIALTY INFUSION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY DOUGLAS BOHART PHARMD (CEO)
(949) 735-6803
Entity
Organization
Contact information
Practice address
17175 GILLETTE AVE STE B, IRVINE, CA 92614-5602
(949) 735-6803
(949) 660-7139
Mailing address
17175 GILLETTE AVE STE B, IRVINE, CA 92614-5602
(949) 735-6803
(949) 660-7139
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/12/2017
Last updated
09/14/2023
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