Provider Demographics
NPI:1710648928
Name:OMEGA HEALTH CLINICS
Entity Type:Organization
Organization Name:OMEGA HEALTH CLINICS
Other - Org Name:OMEGA HEALTH & NP SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NANDEESH
Authorized Official - Middle Name:
Authorized Official - Last Name:VEERAPPA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-554-4181
Mailing Address - Street 1:PO BOX 576810
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95357-6810
Mailing Address - Country:US
Mailing Address - Phone:209-252-6676
Mailing Address - Fax:
Practice Address - Street 1:2909 COFFEE RD STE 12B
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95355-1751
Practice Address - Country:US
Practice Address - Phone:209-554-4181
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-10
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy
No163WW0000XNursing Service ProvidersRegistered NurseWound CareGroup - Multi-Specialty