Healthcare Provider Details

I. General information

NPI: 1508748906
Provider Name (Legal Business Name): OMA HEALING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2025
Last Update Date: 07/24/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9730 WILSHIRE BLVD STE 209
BEVERLY HILLS CA
90212-2004
US

IV. Provider business mailing address

9730 WILSHIRE BLVD STE 209
BEVERLY HILLS CA
90212-2004
US

V. Phone/Fax

Practice location:
  • Phone: 310-919-5997
  • Fax: 310-221-8748
Mailing address:
  • Phone: 310-919-5997
  • Fax: 310-221-8748

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ANNAPURNA BOBBA
Title or Position: PRESIDENT
Credential: MD
Phone: 917-805-3530