Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. OMAR ISLAS
Active Sole ProprietorMR. OMAR ISLAS is a Dental Assistant healthcare provider located in LOS A NGELES, California. NPI 1396187019 is currently active in the NPPES registry. Verify at CMS.
Dental Assistant · LOS A NGELES, CA
Registration Details
- NPI Number
- 1396187019
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 23, 2013 (13.102526332379 yrs)
- Last Updated
- Jul 23, 2013
- License
-
67395 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
440 N CORONADO ST UNIT 207LOS A NGELES, CA, 90026Browse CA providers · Browse ZIP 90026
- Phone
- 8184413866
- Primary Specialty
-
Dental Assistant
126800000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.