=====================================================
General NPI Number Information
=====================================================
NPI Number | 1508748906
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | OMA HEALING INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/24/2025
-----------------------------------------------------
Last Update Date | 07/24/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9730 WILSHIRE BLVD STE 209
-----------------------------------------------------
City | BEVERLY HILLS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90212-2004
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 310-919-5997
-----------------------------------------------------
Fax | 310-221-8748
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9730 WILSHIRE BLVD STE 209
-----------------------------------------------------
City | BEVERLY HILLS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90212-2004
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 310-919-5997
-----------------------------------------------------
Fax | 310-221-8748
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. ANNAPURNA BOBBA
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 917-805-3530
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM2500X
-----------------------------------------------------
Taxonomy Name | Medical Specialty Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------