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General NPI Number Information
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NPI Number | 1689688004
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Entity Type | Organization
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Legal Business Name | OMNI FAMILY HEALTH
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 2101 7TH ST BLDG A-F
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City | WASCO
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State | CA
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Zip | 93280-1502
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Country | US
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Telephone | 866-707-6664
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Fax | 661-746-9197
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Provider Business Mailing Address
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Address Line | 4900 CALIFORNIA AVE 400B
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City | BAKERSFIELD
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State | CA
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Zip | 93309-7081
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Country | US
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Telephone | 661-459-1900
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Fax | 661-746-9197
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. FRANCISCO L CASTILLON
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Credential |
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Telephone | 661-630-7045
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number | 120000254
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License Number State | CA
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