MEDICARE: OMG CLINIC, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1255294096
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OMG CLINIC, INC.

Provider Business Mailing Address
First Line	:	255 E ORANGE GROVE AVE STE D
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91502-1240
Country	:	US
Telephone Number	:	747-262-1155
Fax Number	:	747-262-1154

Provider Business Practice Location Address
First Line	:	255 E ORANGE GROVE AVE STE D
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91502-1240
Country	:	US
Telephone Number	:	747-262-1155
Fax Number	:	747-262-1154

Authorized Official
Title or Position	:	ATTENDING PHYSICIAN CEO
Name	:	DR. JEFFREY LEE ROBINSON
Credential	:	MD
Telephone Number	:	747-262-1155

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	02/19/2026

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