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

Omaru Keketoma Fullah

Individual provider Rehabilitation Practitioner · NPI 1437283439

Omaru Keketoma Fullah is a Rehabilitation Practitioner in Los Angeles, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
Specialties on file
3

Practice location Address checks out

8836 S Vermont Ave
Los Angeles, CA 90044-4832
Phone: (323) 593-5300
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Rehabilitation Practitioner Taxonomy 225400000X
Rehabilitation Practitioner Taxonomy 225400000X (CA)

Record details

NPI number1437283439
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 14, 2007
Last updated in NPPESMay 8, 2025
Certification dateMay 8, 2025

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