| Suma Oommen M D Inc | |
|
24432 Muirlands Blvd Ste 219 Lake Forest CA 92630-3939 | |
| (949) 852-9038 | |
| Not Available |
| Full Name | Suma Oommen M D Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 24432 Muirlands Blvd Ste 219, Lake Forest, California |
| Authorized Official Name and Position | Suma Oommen (PRESIDENT) |
| Authorized Official Contact | 9498528031 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Suma Oommen M D Inc 24432 Muirlands Blvd Ste 219 Lake Forest CA 92630-3939 Ph: (949) 852-9038 | Suma Oommen M D Inc 24432 Muirlands Blvd Ste 219 Lake Forest CA 92630-3939 Ph: (949) 852-9038 |
| NPI Number | 1578733465 |
|---|---|
| Provider Enumeration Date | 03/06/2008 |
| Last Update Date | 11/22/2024 |
| Medicare PECOS PAC ID | 6800965179 |
|---|---|
| Medicare Enrollment ID | O20080513000702 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578733465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Suma Oommen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063431203 PECOS PAC ID: 0547339814 Enrollment ID: I20080513000695 |
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