| Medical One, Llc | |
|
2213 Buchanan Rd Ste 202 Antioch CA 94509-4265 | |
| (925) 436-3155 | |
| (925) 278-6600 |
| Full Name | Medical One, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2213 Buchanan Rd Ste 202, Antioch, California |
| Authorized Official Name and Position | Victoria C Nwokochah (ADMINISTRATOR) |
| Authorized Official Contact | 9254363155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical One, Llc Po Box 3252 Antioch CA 94531-3252 Ph: () - | Medical One, Llc 2213 Buchanan Rd Ste 202 Antioch CA 94509-4265 Ph: (925) 436-3155 |
| NPI Number | 1356810188 |
|---|---|
| Provider Enumeration Date | 11/22/2018 |
| Last Update Date | 11/22/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356810188 | NPI | - | NPPES |
| 697899 | Other | CA | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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