Organization
OMNI FAMILY HEALTH
Active
Other names
National Health Services, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANCISCO L CASTILLON (CEO)
(661) 630-7050
Entity
Organization
Contact information
Practice address
2101 7TH STREET, WASCO, CA 93280-1502
(661) 758-2263
(661) 758-8132
Mailing address
4900 CALIFORNIA AVE, 400B, BAKERSFIELD, CA 93309-7081
(661) 459-1900
(661) 459-1944
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
050000254
CA
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
12000254
CA
291U00000X
Clinical Medical Laboratory
CLP 320413
CA
291U00000X
Clinical Medical Laboratory
CLP320413
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HAP80030F
MEDI-CAL
CA
Enumeration date
03/26/2008
Last updated
06/19/2014
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