OMEGA ANESTHESIA GROUP, INC
Anesthesiologist Assistant at Stoneridge Dr, Pleasanton, CA

License number
California 95000039
Category
Osteopathic Medicine
Type
Anesthesiology
Owner
Name: NAVIN MALLAVARAM
Title: PRESIDENT
Phone: (925) 469-9120
Address
Address
5924 Stoneridge Dr STE 205, Pleasanton, CA 94588
National Provider ID: 1982021390
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Omega Anesthesia Group, Inc

Pleasanton, CA  -  San Ramon, CA

Registration:
Mar 11, 2013
Addresses:
5924 Stoneridge Dr, Pleasanton, CA 94588
2615 Casella Way, San Ramon, CA 94582
State ID:
03555725
Business type:
Articles of Incorporation
President:
Navin Mallavaram (President)
Agent:
National Registered Agents, Inc

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