MEDICARE: SEPIDEH OMIDGHAEMI OD

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	152W00000X	Optometrist	9143T	TX
2	152W00000X	Optometrist	33826TLG	CA

General Provider Information

NPI Number	:	1457887085
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SEPIDEH OMIDGHAEMI OD

Provider Business Mailing Address
First Line	:	3817 LOCKERBIE CT
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91208-1024
Country	:	US
Telephone Number	:	818-640-2646
Fax Number	:

Provider Business Practice Location Address
First Line	:	1605 COLORADO BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90041-1402
Country	:	US
Telephone Number	:	818-640-2646
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2017
Last Update Date	:	07/23/2019

Similar Medicare Providers

1053516518 — ANNA HARMANDARIAN DDS
Practice Location Address:

1609 COLORADO BLVD
LOS ANGELES, CA
90041-1402

Practice Phone: 323-474-6212
Practice Fax: 323-474-6212

1710184213 — MRS. ANGELA ALEXANDRA AYZIN DDS
Practice Location Address:

1621 COLORADO BLVD
LOS ANGELES, CA
90041-1402

Practice Phone: 323-344-0448
Practice Fax: 323-256-0727

1720676349 — DAWN REVERSPECTIVE EYES LLC
Practice Location Address:

1605 COLORADO BLVD
LOS ANGELES, CA
90041-1402

Practice Phone: 323-739-6092
Practice Fax:

1346421393 — CALIMAN MEDICAL SERVICES
Practice Location Address:

1402 W VERNON AVE
LOS ANGELES, CA
90062-1814

Practice Phone: 323-298-3724
Practice Fax: 323-293-4835

1134384399 — MR. SHENGWEN LI LIC., AC
Practice Location Address:

2211 W WASHINGTON BLVD
LOS ANGELES, CA
90018-1402

Practice Phone: 323-731-8800
Practice Fax: 323-731-8850

1134371289 — ADVANCED SLEEP MEDICINE SERVICES INC
Practice Location Address:

2080 CENTURY PARK E , SUITE 1402
LOS ANGELES, CA
90067-2017

Practice Phone: 310-479-0500
Practice Fax: 310-402-2703

Directions to “ SEPIDEH OMIDGHAEMI OD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.