Look up the most recent NPI and PECOS records

Aisha Omorodion

Psychiatry & Neurology

Allopathic & Osteopathic Physicians

3020 Childrens Way, San Diego, CA 92123-4223

PECOS Enrollment

Based on the most recent information from CMS, provider Aisha Omorodion is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:51 AM.

Profile Details

Provider ID
1629500301
Provider Type
Individual
Full Name
Omorodion, Aisha
Title
Dr.
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
3/31/2017
Last Updated
9/29/2022

Contact Information

Practice Location

3020 Childrens Way, San Diego, CA 92123-4223

(858) 576-1700

Unlisted Fax

Mailing Location

3020 Childrens Way # Mc5003, San Diego, CA 92123-4223

(858) 309-6300

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 2084P0804X Primary	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License A169651 California

Aisha Omorodion

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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