Ted H. Omura
Chiropractic Sports Physician
1609 Meridian Ave
San Jose
, California 95125-5532
Ted H. Omura
Chiropractic Sports Physician
1609 Meridian Ave
San Jose
, California 95125-5532
(408) 448-8818
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About
Features
Specialties
- Chiropractic Sports Physician
Languages spoken
- English
Location
First Address
- Ted H. Omura
- 1609 Meridian Ave
- San Jose, CA
- Zip : 95125-5532
- Phone : (408) 448-8818
Second Address
- Ted H. Omura
- 1609 Meridian Ave
- San Jose, CA
- Zip : 95125-5532
- Phone : (408) 448-8818
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NS0005X | Chiropractic Sports Physician | DC025988 | CA |
National Provider Identifier
| NPI | 1205837986 |
|---|---|
| Provider Name | Ted H. Omura |
| First Address | San Jose, CA 95125-5532 |
| Second Address | San Jose, CA 95125-5532 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/08/2005 |
| Last Update Date | 09/09/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 357446700 | DEPT. OF LABOR (01) | CA |
| 5708678 | AETNA (01) | CA |
| DC0259880 | BLUE SHIELD (01) | CA |
| U74045 | (02) | CA |
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.