Healthcare Provider Details

I. General information

NPI: 1124799572
Provider Name (Legal Business Name): MAUNG PATEL OMS PARTNERSHIP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2021
Last Update Date: 06/19/2025
Certification Date: 06/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 SCOTT BLVD STE D1
SANTA CLARA CA
95050-4547
US

IV. Provider business mailing address

1150 SCOTT BLVD STE D1
SANTA CLARA CA
95050-4547
US

V. Phone/Fax

Practice location:
  • Phone: 408-248-9597
  • Fax: 408-248-9590
Mailing address:
  • Phone: 408-248-9597
  • Fax: 408-248-9590

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204E00000X
TaxonomyOral & Maxillofacial Surgery (D.M.D.)
License Number
License Number State

VIII. Authorized Official

Name: DR. LINN H MAUNG
Title or Position: OWNER
Credential: MD
Phone: 510-220-5349