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General NPI Number Information
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NPI Number | 1447470968
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Entity Type | Organization
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Legal Business Name | ANTHONY S. OH, M.D., A MEDICAL CORPORATION
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 4950 SAN BERNARDINO ST STE 202
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City | MONTCLAIR
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State | CA
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Zip | 91763-2328
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Country | US
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Telephone | 909-621-7647
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Fax | 877-887-5774
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Provider Business Mailing Address
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Address Line | 4950 SAN BERNARDINO ST STE 202
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City | MONTCLAIR
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State | CA
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Zip | 91763-2328
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Country | US
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Telephone | 909-621-7647
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Fax | 877-887-5774
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | ANTHONY S OH
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Credential | M.D.
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Telephone | 909-621-7647
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | A850292
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License Number State | CA
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