Organization
OMNI WOMENS HEALTH ULTRASOUND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT FREDIANI (ADMINISTRATOR)
(559) 495-3120
Entity
Organization
Contact information
Practice address
5771 N FRESNO ST STE 109, FRESNO, CA 93710-6091
(559) 441-4273
(559) 495-3134
Mailing address
5771 N FRESNO ST STE 109, FRESNO, CA 93710-6091
(559) 441-4273
(559) 495-3134
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
GR0068489
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0068489
—
CA
Enumeration date
05/31/2007
Last updated
08/22/2020
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