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Organization
FAMILY MEDICAL GROUP, A PROFESSIONAL CORPORATION
Active
Organization
FAMILY MEDICAL GROUP, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANN OMACHI MD (PRESIDENT)
(650) 994-2300
Entity
Organization
Contact information
Practice address
1800 SULLIVAN AVE RM 209, DALY CITY, CA 94015
(650) 994-2300
(650) 992-0122
Mailing address
1800 SULLIVAN AVE RM 209, DALY CITY, CA 94015-2222
(650) 994-2300
(650) 992-0122
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G43405
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ837527
—
CA
Enumeration date
12/06/2006
Last updated
08/30/2018
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