Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Keiichiro Omori MD

Organization Non-Pharmacy Dispensing Site · NPI 1821171158

Keiichiro Omori MD is a Non-Pharmacy Dispensing Site in Anaheim, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006

Practice location Address checks out

1801 W Romneya Dr Ste 407
Anaheim, CA 92801-1827
Phone: (714) 533-3870
Fax: (714) 533-6714
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X · Licence A26248 (CA)

Record details

NPI number1821171158
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Direndia Shackelford — Managed Care Specialist · (800) 654-0889
Other names Keiichiro Omori Md
NPI enumeratedOctober 23, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1801 W Romneya Dr Ste 407, Anaheim, CA 92801-1827

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