Look up the most recent NPI and PECOS records

Omnicore Health Services, Inc

Psychiatry & Neurology

Allopathic & Osteopathic Physicians

363 S Indian Hill Blvd, Claremont, CA 91711-5224

PECOS Enrollment

Based on the most recent information from CMS, provider Omnicore Health Services, Inc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 4:18 PM.

Profile Details

Provider ID
1275318818
Provider Type
Organization
Full Name
Omnicore Health Services, Inc

Subpart
No
Enumeration Date
8/30/2023
Last Updated
4/10/2024

Contact Information

Practice Location

363 S Indian Hill Blvd, Claremont, CA 91711-5224

(909) 929-0070

Unlisted Fax

Mailing Location

363 S Indian Hill Blvd, Claremont, CA 91711-5224

Unlisted Phone

Unlisted Fax

Authorized Official

Reddy, Mallu (Ceo)

(909) 635-7764

Provider Taxonomies

Code	Description	License
Code 2084P0800X Primary	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 101YA0400X	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 101YM0800X	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 103T00000X	Description Psychologist Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 1041C0700X	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 106H00000X	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 106S00000X	Description Behavior Technician Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 167G00000X	Description Licensed Psychiatric Technician Nursing Service Providers	License Unlisted Issuer
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 363LP0808X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer

Omnicore Health Services, Inc

PECOS Enrollment

Profile Details

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