Organization
OMNI INTEGRATED MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISABELLE SABALONES (PRESIDENT)
(760) 220-1991
Entity
Organization
Contact information
Practice address
601 E YORBA LINDA BLVD STE 2G, PLACENTIA, CA 92870-3006
(760) 220-1991
(844) 328-5834
Mailing address
601 E YORBA LINDA BLVD STE 2G, PLACENTIA, CA 92870-3006
(760) 220-1991
(844) 328-5834
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
02/22/2024
Last updated
02/22/2024
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