| Activa Medical Center, Inc. | |
|
1479 Ygnacio Valley Rd Ste 207 Walnut Creek CA 94598-2945 | |
| (925) 946-1098 | |
| Not Available |
| Full Name | Activa Medical Center, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1479 Ygnacio Valley Rd Ste 207, Walnut Creek, California |
| Authorized Official Name and Position | Harry K Wong (PRESIDENT) |
| Authorized Official Contact | 6504009887 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Activa Medical Center, Inc. 3130 Alpine Rd Ste 288-211 Portola Valley CA 94028-7549 Ph: (650) 400-9887 | Activa Medical Center, Inc. 1479 Ygnacio Valley Rd Ste 207 Walnut Creek CA 94598-2945 Ph: (925) 946-1098 |
| NPI Number | 1700085412 |
|---|---|
| Provider Enumeration Date | 07/12/2007 |
| Last Update Date | 11/01/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700085412 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 20A6227 (California) | Primary |
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