| NPI | 1740534932 |
|---|---|
| Doing Business As | OFFICE OF DR. OMAR FADEEL |
| Entity Type | Organization |
| Authorized Contact | KENNY HEINE VP Ops 858-964-1506 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: CA A44522) |
| Enumeration Date | 2012-11-09 |
| Last Update Date | 2012-11-09 |