Omid Omidvar
Medical Specialty
Professional ID
- NPI: 1184678583
- PECOS ID: 4587691654
- Enrollment ID: I20050720000486
- Credential(MD, DO, DPM): MD
- Medical School:
- Medical School Graduation Year: 1994
Hospital Service
- Hospital CCN1: 050551
- Business Name (LBN)1: Los Alamitos Medical Center
- Hospital CCN2: 050581
- Business Name (LBN)2: Lakewood Regional Medical Center
- Hospital CCN3: 050485
- Business Name (LBN)3: Long Beach Memorial Medical Center
- Hospital CCN4: 050727
- Business Name (LBN)4: Community Hospital Of Long Beach
Medical Practices
- Organization Name: Southland Neurologic Institute A Medical Corporation
- Group Practice ID assigned by PECOS: 0446555023
- Number of Group Practice member: 7
Location
- Address1: 3747 Worsham Ave
- Address2: Suite 100
- City: Long Beach
- State: California
- Zip Code: 90808
- Phone Number: (562)430-4513
Medical Practices
- Organization Name: Southland Neurologic Associates Of Orange County Inc
- Group Practice ID assigned by PECOS: 9133197155
- Number of Group Practice member: 4
Location
- Address1: 3791 Katella Ave
- Address2: Suite 106
- City: Los Alamitos
- State: California
- Zip Code: 90720
- Phone Number: (562)430-4513
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):