| Name: | One Medical Group, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Professional Corporation |
| Status: | Exists |
| Date of registration: | 29 Mar 2016 (9 years ago) |
| Entity Number: | 000-850-763 |
| Register Number: | 000850763 |
| County: | Montgomery |
| Place of Formation: | Virginia |
| Principal Address: | 1 EMBARCADERO CENTER STE 1900SAN FRANCISCO, CA 94111 |
| Registered Office Street Address: | 2 NORTH JACKSON STREET STE 605MONTGOMERY, AL 36104 |
| Registered Office Street Address ZIP Code: | 36104 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487229258 | 2021-05-25 | 2021-05-25 | 1 EMBARCADERO CTR STE 1900, SAN FRANCISCO, CA, 941113723, US | 2024 2ND AVE N STE C, BIRMINGHAM, AL, 352033757, US | |||||||||||||||||||||||||||
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| Phone | +1 415-658-6791 |
| Fax | 4155200904 |
| Phone | +1 205-346-8115 |
| Fax | 2059057049 |
Authorized person
| Name | ANDREW S DIAMOND |
| Role | CHEIF MEDICAL OFFICER |
| Phone | 4156586791 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| C T CORPORATION SYSTEM | Agent | 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
