Organization
OMNI FAMILY HEALTH
Active
Organization
OMNI FAMILY HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANCISCO L CASTILLON (CHIEF EXECUTIVE OFFICER)
(661) 630-7050
Entity
Organization
Contact information
Practice address
1900 N. GATEWAY BLVD, STE 116, FRESNO, CA 93727-1622
(661) 459-1900
(661) 746-9197
Mailing address
4900 CALIFORNIA AVENUE, 400B, BAKERSFIELD, CA 93309-7081
(661) 459-1900
(661) 746-9197
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
07/11/2018
Last updated
03/20/2020
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