OMNIBUS MEDICAL CORP NPI 1922697861

NPI Information

  • NPI: 1922697861
  • Provider Name: OMNIBUS MEDICAL CORP
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 12566 VALLEY VIEW ST
    GARDEN GROVE, CA
    ZIP 92845
  • Phone: (704) 617-8535

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NPI Details

OMNIBUS MEDICAL CORP is a specialist in Garden Grove, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. OMNIBUS MEDICAL CORP NPI is 1922697861. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

12566 VALLEY VIEW ST
GARDEN GROVE, CA
ZIP 92845-234
Phone: (704) 617-8535

The provider's authorized official is Cody Hall .
The authorized official title is Manager and has the following contact phone number (323) 590-9128.

The enumeration date for this NPI number is 1/14/2021 and was last updated on 8/4/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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