Individual
DR. MICHELLE CHIEMI OMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10111 HOLE AVE, RIVERSIDE, CA 92503-3441
(951) 352-0555
Mailing address
10111 HOLE AVE, RIVERSIDE, CA 92503-3441
(310) 985-4548
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A101365
CA
Other
Enumeration date
09/20/2007
Last updated
01/14/2021
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