Organization
OMNI FAMILY HEALTH
Active
Other names
National Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANCISCO L CASTILLON (CHIEF EXECUTIVE DIRECTOR)
(661) 630-7050
Entity
Organization
Contact information
Practice address
2101 7TH ST, WASCO, CA 93280-1502
(661) 459-1900
(661) 459-1974
Mailing address
4900 CALIFORNIA AVE STE 400B, BAKERSFIELD, CA 93309-7081
(661) 459-1900
(661) 459-1974
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
050000254
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BCP80030F
BCDP
CA
05
—
FHC80030F
—
CA
01
—
HAP80030F
FAMILY PACT
CA
05
—
PHA322610
—
CA
01
—
ZZZ95223Z
MEDICARE PART B
CA
Enumeration date
04/25/2007
Last updated
07/25/2018
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