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Organization
OMNIBUS MEDICAL CORP
Active
Organization
OMNIBUS MEDICAL CORP
Active
Parent organization
OMNIBUS MEDICAL CORP
Organization subpart
Yes
Provider details
NPI number
Legal business name
OMNIBUS MEDICAL CORP
Authorized official
MR. CODY HALL (MANAGER)
(323) 590-9128
Entity
Organization
Contact information
Practice address
12566 VALLEY VIEW ST, GARDEN GROVE, CA 92845-1234
(704) 617-8535
Mailing address
12566 VALLEY VIEW, GARDEN GROVE, CA 92845
(323) 590-9128
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/14/2021
Last updated
08/04/2022
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