Individual
OMAR ALEJANDRO CARDONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4153 NELSON RD, OCEANSIDE, CA 92058
(760) 763-8527
Mailing address
9300 DEWITT LOOP, FORT BELVOIR, VA 22060-5285
(571) 231-0265
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102208871
VA
208D00000X
General Practice Physician
Primary
0102208871
VA
Other
Enumeration date
03/01/2023
Last updated
07/24/2026
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