Ofunneka Omekam, RD | |
7912 West Ln Ste 221, Stockton, CA 95210-3159 | |
(916) 670-5349 | |
Not Available |
Full Name | Ofunneka Omekam |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 7912 West Ln Ste 221, Stockton, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942941455 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 86106943 (California) | Primary |
Provider Name | Community Medical Centers, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1588729180 PECOS PAC ID: 8426968520 Enrollment ID: O20101027000870 |
Mailing Address | Practice Location Address |
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Ofunneka Omekam, RD 7210 Murray Dr, Stockton, CA 95210-3339 Ph: (916) 670-5349 | Ofunneka Omekam, RD 7912 West Ln Ste 221, Stockton, CA 95210-3159 Ph: (916) 670-5349 |
Miss Rosario Aguirre, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-5186 Fax: 209-476-3144 | |
Ronli Levi, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1800 N California St, Stockton, CA 95204 Phone: 209-467-5356 | |
Christina Ellis, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1800 N California St, Stockton, CA 95204 Phone: 408-314-4600 | |
Vanessa Aldana Romo, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 425 N California St Ste 7, Stockton, CA 95202 Phone: 209-870-5000 | |
Mrs. Johnna Coppock, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1800 N California St, Stockton, CA 95204 Phone: 209-467-6356 | |
Yesenia Cihuacoatl, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1617 N California St, Suite 2g, Stockton, CA 95204 Phone: 209-461-5268 Fax: 209-461-5395 | |
Ms. Sandra Joy Sadahiro, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-5419 |