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General NPI Number Information
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NPI Number | 1447090105
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Entity Type | Organization
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Legal Business Name | MEG OHARE MD INC
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Dates
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Enumeration Date | 05/30/2024
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Last Update Date | 07/02/2024
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Provider Practice Location Address
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Address Line | 675 YGNACIO VALLEY RD STE B214
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City | WALNUT CREEK
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State | CA
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Zip | 94596-8209
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Country | US
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Telephone | 925-937-8346
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Fax | 925-232-9621
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Provider Business Mailing Address
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Address Line | 675 YGNACIO VALLEY RD STE B214
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City | WALNUT CREEK
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State | CA
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Zip | 94596-8209
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Country | US
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Telephone | 925-937-8346
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Fax | 925-232-9621
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. MEG MARY O'HARE
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Credential | MD
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Telephone | 415-596-4711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 202K00000X
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Taxonomy Name | Phlebology Physician
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License Number |
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License Number State |
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