Individual
CARL A OMSTEAD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2700 GRANT ST, SUITE 320, CONCORD, CA 94520-2266
(925) 676-2600
(925) 680-0212
Mailing address
2700 GRANT ST, SUITE 320, CONCORD, CA 94520-2266
(925) 676-2600
(925) 680-0212
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PA 12284
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA12284
CA. LICENSE
CA
Enumeration date
04/27/2006
Last updated
07/08/2007
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