Individual
ADAM JAMES OMAHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
519 ENCINITAS BLVD STE 106, ENCINITAS, CA 92024-3738
(619) 772-7527
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 554-9100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
60120
CA
Other
Enumeration date
09/24/2021
Last updated
11/05/2024
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