Organization
OMNI IPA MEDICAL GROUP, INC.
Active
Other names
Omni IPA, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
KIRITKUMER B. PATEL M.D. (PRESIDENT/CEO)
(209) 320-2600
Entity
Organization
Contact information
Practice address
2609 E. HAMMER LANE, STOCKTON, CA 95210
(209) 320-2600
Mailing address
2609 E. HAMMER LANE, STOCKTON, CA 95210
(209) 320-2600
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
05/18/2007
Last updated
07/28/2009
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