Oac Southern Medical Professional Corporation

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

20A10143 Issued in CA

Legal business name

OAC SOUTHERN MEDICAL PROFESSIONAL CORPORATION

Practice address

3300 W Coast Hwy
Suite a
Newport Beach, CA 92663-4007

Phone

(949) 209-0220

Fax

(949) 270-5139

NPI assigned

Jul 17, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Maryam Rahimi, D.O.

Title

President

Phone

(310) 634-1146

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342483200000",
    "number": "1164777090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23430 HAWTHORNE BLVD",
            "address_2": "SUITE 125",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054720",
            "telephone_number": "310-373-0555",
            "fax_number": "310-373-5655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 W COAST HWY",
            "address_2": "SUITE A",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634007",
            "telephone_number": "949-209-0220",
            "fax_number": "949-270-5139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAC SOUTHERN MEDICAL PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-17",
        "last_updated": "2012-07-17",
        "status": "A",
        "authorized_official_last_name": "RAHIMI",
        "authorized_official_first_name": "MARYAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-634-1146",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "CA",
            "license": "20A10143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth O'Connell, MD
• Bethany Marie Stelnicki O'Connor, M.D.
• Matthew O'Mahoney, D.P.T.
• Tamara O'Nan, PA-C
• Esther Rachel O'Neil, AMFT
• Oasis Anesthesia, Surgical and Medical Group, Inc (Professional Anesthesia Group)
• Chanel E Obas
• Vivian Oberling, PSYD
• Catherine Marie Obrien, MA
• Oc Alliance Surgery Center LLC

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.