Healthcare Provider Details

I. General information

NPI: 1356381073
Provider Name (Legal Business Name): ROSEMARY OMEEGHAN MBCHB
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 02/09/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HOAG DR RADIOLOGY DEPT
NEWPORT BEACH CA
92663-4162
US

IV. Provider business mailing address

PO BOX 749226
LOS ANGELES CA
90074-9226
US

V. Phone/Fax

Practice location:
  • Phone: 949-764-6876
  • Fax: 949-764-6874
Mailing address:
  • Phone: 949-263-8620
  • Fax: 949-263-1639

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberC50595
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: