1689983744 NPI number — NEDA OROMCHIAN D.D.S, APC

Table of content: JULIE ROSE PAULY ARNP (NPI 1548533045)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689983744 NPI number — NEDA OROMCHIAN D.D.S, APC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEDA OROMCHIAN D.D.S, APC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1689983744
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/06/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2130 SAN RAMON VALLEY BLV
Provider Second Line Business Mailing Address:
SUITE #2
Provider Business Mailing Address City Name:
SAN RAMON
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94583
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
925-828-0824
Provider Business Mailing Address Fax Number:
925-828-3426

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2130 SAN RAMON VALLEY BLV
Provider Second Line Business Practice Location Address:
SUITE #2
Provider Business Practice Location Address City Name:
SAN RAMON
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94583
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
925-828-0824
Provider Business Practice Location Address Fax Number:
925-828-3426
Provider Enumeration Date:
10/06/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
OROMCHIAN
Authorized Official First Name:
NEDA
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT/OWNER
Authorized Official Telephone Number:
925-828-0824

Provider Taxonomy Codes

  • Taxonomy code: 122300000X , with the licence number:  39692 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)