Provider Demographics
NPI:1922337500
Name:OMRANI, JASMINE (DO)
Entity Type:Individual
Prefix:DR
First Name:JASMINE
Middle Name:
Last Name:OMRANI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:JASMINE
Other - Middle Name:
Other - Last Name:ZARGARPOUR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:3401 S HARBOR BLVD
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92704-7933
Mailing Address - Country:US
Mailing Address - Phone:424-305-0573
Mailing Address - Fax:
Practice Address - Street 1:25965 S. NORMANDIE AVE.
Practice Address - Street 2:
Practice Address - City:HARBOR CITY
Practice Address - State:CA
Practice Address - Zip Code:90710
Practice Address - Country:US
Practice Address - Phone:424-328-2313
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-10
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A11O11208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics