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Organization
OMEGA ANESTHESIA GROUP, INC
Active
Organization
OMEGA ANESTHESIA GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAVIN MALLAVARAM (PRESIDENT)
(925) 469-9120
Entity
Organization
Contact information
Practice address
5924 STONERIDGE DR STE 205, PLEASANTON, CA 94588-5400
(925) 469-9120
Mailing address
5924 STONERIDGE DR STE 205, PLEASANTON, CA 94588-5400
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
95000039
CA
Other
Enumeration date
03/24/2014
Last updated
03/24/2014
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