Organization
OMNI WOMENS HEALTH MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FENGLALY CHERTA LEE M.D. (PRESIDENT)
(559) 495-3120
Entity
Organization
Contact information
Practice address
3812 N 1ST ST, FRESNO, CA 93726-4301
(559) 495-3120
(559) 495-3134
Mailing address
3812 N 1ST ST, FRESNO, CA 93726-4301
(559) 495-3120
(559) 495-3134
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0068480
—
CA
05
—
GR0068481
—
CA
05
—
GR0068482
—
CA
05
—
GR0068483
—
CA
05
—
GR0068484
—
CA
05
—
GR0068485
—
CA
05
—
GR0068486
—
CA
05
—
GR0068487
—
CA
05
—
GR0068488
—
CA
05
—
GR0068489
—
CA
05
—
LAB61460F
—
CA
Enumeration date
12/22/2005
Last updated
11/22/2023
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