Provider Demographics
NPI:1962294900
Name:ALCHARIHI, OMAR
Entity type:Individual
Prefix:
First Name:OMAR
Middle Name:
Last Name:ALCHARIHI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1451 E WILSON AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91206-3956
Mailing Address - Country:US
Mailing Address - Phone:818-445-2250
Mailing Address - Fax:
Practice Address - Street 1:3407 BURBANK BLVD
Practice Address - Street 2:APT 2
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505
Practice Address - Country:US
Practice Address - Phone:818-446-6811
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-17
Last Update Date:2025-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)