| Tomio T. Odama, M.D., Inc. | |
|
1117 W Tokay St Suite A Lodi CA 95240-3844 | |
| (209) 333-2551 | |
| (209) 333-8274 |
| Full Name | Tomio T. Odama, M.D., Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1117 W Tokay St, Lodi, California |
| Authorized Official Name and Position | Tomio Thomas Odama (PRESIDENT) |
| Authorized Official Contact | 2093332551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tomio T. Odama, M.D., Inc. 1117 W Tokay St Suite A Lodi CA 95240-3844 Ph: (209) 333-2551 | Tomio T. Odama, M.D., Inc. 1117 W Tokay St Suite A Lodi CA 95240-3844 Ph: (209) 333-2551 |
| NPI Number | 1992005474 |
|---|---|
| Provider Enumeration Date | 10/29/2010 |
| Last Update Date | 03/25/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992005474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G28380 (California) | Primary |
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