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Omid Omidvar

  • Male

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):