Dr. Omar M Faridi
Oral & Maxillofacial Surgeon
1200 N State St Ct A3c 117
Los Angeles
, California 90033-1029
Dr. Omar M Faridi
Oral & Maxillofacial Surgeon
1200 N State St Ct A3c 117
Los Angeles
, California 90033-1029
(909) 839-3509
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About
Features
Specialties
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Omar M Faridi
- 947 Crystal Water Ln
- Walnut, CA
- Zip : 91789-1467
- Phone : (909) 839-3509
Second Address
- Dr. Omar M Faridi
- 1200 N State St Ct A3c 117
- Los Angeles, CA
- Zip : 90033-1029
- Phone : (323) 409-5051
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgeon | A107924 | CA |
National Provider Identifier
| NPI | 1568698843 |
|---|---|
| Provider Name | Dr. Omar M Faridi |
| First Address | Walnut, CA 91789-1467 |
| Second Address | Los Angeles, CA 90033-1029 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/06/2009 |
| Last Update Date | 01/06/2009 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.