Omni Ipa Medical Group, Inc. is a health care provider in Stockton, CA. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location||2609 E. Hammer Lane, Stockton, CA 95210, US|
|Practice Location Phone||209-320-2600|
|Practice Location Fax|
|Legal Business Name||OMNI IPA MEDICAL GROUP, INC.|
|Other Organization Name||OMNI IPA, INC.|
|Other Organization Name Type||Doing Business As Name|
|Enumeration Date ?||May 18, 2007|
|Last Update Date ?||Jul 28, 2009|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Health Maintenance Organization||Managed Care Organizations|
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Omni Ipa Medical Group, Inc.'s status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official||Kiritkumer B. Patel (M.D.)|
|Authorized Official Title/Position||PRESIDENT/CEO|
|Authorized Official Phone Number||209-320-2600|