| Theingi Oo Md Inc | |
|
1300 N Vermont Ave Los Angeles CA 90027-6098 | |
| (213) 413-3000 | |
| Not Available |
| Full Name | Theingi Oo Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1300 N Vermont Ave, Los Angeles, California |
| Authorized Official Name and Position | Theingi Oo (PRESIDENT) |
| Authorized Official Contact | 8133615298 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Theingi Oo Md Inc 5 Holland Ste 101 Irvine CA 92618-2568 Ph: (949) 588-2190 | Theingi Oo Md Inc 1300 N Vermont Ave Los Angeles CA 90027-6098 Ph: (213) 413-3000 |
| NPI Number | 1114422722 |
|---|---|
| Provider Enumeration Date | 03/26/2018 |
| Last Update Date | 05/17/2021 |
| Medicare PECOS PAC ID | 8527321934 |
|---|---|
| Medicare Enrollment ID | O20180418000972 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114422722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | A104545 (California) | Primary |
| Provider Name | Theingi Oo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366637407 PECOS PAC ID: 3274673603 Enrollment ID: I20091216000311 |
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