Provider Demographics
NPI:1962433409
Name:JAMIE C. OEY M.D., INC
Entity type:Organization
Organization Name:JAMIE C. OEY M.D., INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:CARISSA
Authorized Official - Last Name:OEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:562-861-9142
Mailing Address - Street 1:10800 PARAMOUNT BLVD
Mailing Address - Street 2:SUITE 302
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90241-3331
Mailing Address - Country:US
Mailing Address - Phone:562-861-9142
Mailing Address - Fax:562-861-9143
Practice Address - Street 1:10800 PARAMOUNT BLVD
Practice Address - Street 2:SUITE 302
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241-3331
Practice Address - Country:US
Practice Address - Phone:562-861-9142
Practice Address - Fax:562-861-9143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2010-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA53553261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care