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General NPI Number Information
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NPI Number | 1417516956
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Entity Type | Organization
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Legal Business Name | OMAR KRAD MD, INC
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Dates
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Enumeration Date | 06/09/2019
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 1400 N HARBOR BLVD STE 100
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City | FULLERTON
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State | CA
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Zip | 92835-4107
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Country | US
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Telephone | 949-309-8148
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Fax | 714-526-2020
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Provider Business Mailing Address
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Address Line | 18 SUNSWEPT MESA
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City | ALISO VIEJO
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State | CA
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Zip | 92656-8074
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. OMAR KRAD
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Credential | MD
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Telephone | 949-309-8148
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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