Omega Healthcare | |
1617 N Garey Ave Pomona CA 91767 | |
(877) 241-8200 | |
(909) 245-1751 |
Full Name | Omega Healthcare |
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Speciality | Nurse Practitioner |
Location | 1617 N Garey Ave, Pomona, California |
Authorized Official Name and Position | David Vincent Picella (PRESIDENT) |
Authorized Official Contact | 8772418200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Omega Healthcare 836 N Del Sol Ln Diamond Bar CA 91765-1105 Ph: (877) 241-8200 | Omega Healthcare 1617 N Garey Ave Pomona CA 91767 Ph: (877) 241-8200 |
NPI Number | 1689057960 |
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Provider Enumeration Date | 07/03/2015 |
Last Update Date | 08/03/2018 |
Medicare PECOS PAC ID | 4587971189 |
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Medicare Enrollment ID | O20150915001207 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689057960 | NPI | - | NPPES |
Provider Name | Patrick James Baggot |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1144319609 PECOS PAC ID: 7012925688 Enrollment ID: I20060323000829 |
Provider Name | David V Picella |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548426380 PECOS PAC ID: 9133268485 Enrollment ID: I20091130000564 |
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