Tomio T. Odama, M.d., Inc. | |
1117 W Tokay St Suite A Lodi CA 95240-3844 | |
(209) 333-2551 | |
(209) 333-8274 |
Full Name | Tomio T. Odama, M.d., Inc. |
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Speciality | Internal Medicine |
Location | 1117 W Tokay St, Lodi, California |
Authorized Official Name and Position | Tomio Thomas Odama (PRESIDENT) |
Authorized Official Contact | 2093332551 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tomio T. Odama, M.d., Inc. 1117 W Tokay St Suite A Lodi CA 95240-3844 Ph: (209) 333-2551 | Tomio T. Odama, M.d., Inc. 1117 W Tokay St Suite A Lodi CA 95240-3844 Ph: (209) 333-2551 |
NPI Number | 1992005474 |
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Provider Enumeration Date | 10/29/2010 |
Last Update Date | 03/25/2015 |
Identifier | Type | State | Issuer |
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1992005474 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | G28380 (California) | Primary |
Inpatient Services Of California, Inc., A Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 975 S. Fairmont Ave, Lodi, CA 95240 Phone: 214-712-2400 |