| Omni Family Health | |
|
4646 N 1st St Fresno CA 93726-0903 | |
| (866) 707-6664 | |
| (661) 746-9197 |
| Full Name | Omni Family Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 4646 N 1st St, Fresno, California |
| Authorized Official Name and Position | Francisco L Castillon (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6616307050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Omni Family Health 4900 California Ave 400b Bakersfield CA 93309-7081 Ph: (661) 459-1900 | Omni Family Health 4646 N 1st St Fresno CA 93726-0903 Ph: (866) 707-6664 |
| NPI Number | 1164934725 |
|---|---|
| Provider Enumeration Date | 11/03/2017 |
| Last Update Date | 09/24/2024 |
| Medicare PECOS PAC ID | 9234176363 |
|---|---|
| Medicare Enrollment ID | O20190807001303 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164934725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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