Victoria Omuson (NPI# 1184920050, PAC ID# 6608030028) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1184920050 |
| PAC ID by PECOS | 6608030028 |
| Professional Enrollment ID | I20120615000290 |
| Full Name | Victoria Omuson |
| Organization Legal Name | ADDIS MEDICAL GROUP A MEDICAL CORPORATION |
| Address |
3294 Santa Fe Ave Long Beach CA 90810-2408 |
| Phone Number | 5624240757 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0941463335 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050135 | SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD |
| Address | Phone | Organization |
|---|---|---|
| 3294 Santa Fe Ave, Long Beach, CA 90810-2408 | 5624240757 | ADDIS MEDICAL GROUP A MEDICAL CORPORATION |
| Organization Legal Name | ADDIS MEDICAL GROUP A MEDICAL CORPORATION |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yaw O Asamoah | Physician Assistant | Addis Medical Group A Medical Corporation | 10802 College Pl, Cerritos, CA 90703-1505 |
| Hyang Rim Ko | Nurse Practitioner | Addis Medical Group A Medical Corporation | 23700 Camino Del Sol, Torrance, CA 90505-5017 |
| Kesha A Saucier | Nurse Practitioner | Addis Medical Group A Medical Corporation | 2776 Pacific Ave, Long Beach, CA 90806-2613 |
| Lisa Kahn | Psychologist, Clinical | Addis Medical Group A Medical Corporation | 23700 Camino Del Sol, Torrance, CA 90505-5017 |
| Hiruy H Gessesse | Psychiatry | Addis Medical Group A Medical Corporation | 23700 Camino Del Sol, Torrance, CA 90505-5017 |
| Anna I Lau | Psychologist, Clinical | Addis Medical Group A Medical Corporation | 3828 Delmas Ter, Culver City, CA 90232-2713 |
| Sonnia Aba Ahinasi | Nurse Practitioner | Addis Medical Group A Medical Corporation | 3828 Delmas Ter, Culver City, CA 90232-2713 |
| Helen Fufor Ntung | Nurse Practitioner | Addis Medical Group A Medical Corporation | 23700 Camino Del Sol, Torrance, CA 90505-5017 |
| Street Address |
3294 SANTA FE AVE |
| City | LONG BEACH |
| State | CA |
| Zip | 90810-2408 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rodolfo Torio Tabila | General Practice | 1339 Willow St, Long Beach, CA 90810-3116 | |
| Miaozhen Li | Nurse Practitioner | Regional Physicians Medical Group Inc | 1974 Santa Fe Ave, Long Beach, CA 90810-4064 |
| Sen B Lai | Cardiovascular Disease (cardiology) | Regional Physicians Medical Group Inc | 1974 Santa Fe Ave, Long Beach, CA 90810-4064 |
| Kaitlyn N Vu | Physician Assistant | Regional Physicians Medical Group Inc | 1974 Santa Fe Ave, Long Beach, CA 90810-4064 |
| Eing-min Chang | Family Practice | 1974 Santa Fe Ave, Long Beach, CA 90810-4064 |
| City | LONG BEACH |
| Zip Code | 90810 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LONG BEACH + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Victoria Omuson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.