| Organization Name: | OMNI FAMILY HEALTH |
| NPI Number: | 1467677971 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | FRANCISCO LOPEZ CASTILLON (CHIEF EXECUTIVE OFFICER) |
| Mailing Address: | 2101 7th St Wasco |
| State: | CA US |
| Postal Code: | 932801502 |
| Phone Number: | 6617582263 |
| Fax Number: | 6617588132 |
| NPI Enumeration Date: | 04/17/2007 |
| NPI Last Update Date: | 05/05/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QC1500X |
| License Number: | 120000254 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |