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2290 Diamond Blvd Suite #202 Concord CA 94520-5742 | |
| (925) 685-7410 | |
| (925) 685-9550 |
| Full Name | |
|---|---|
| Speciality | Clinic/center |
| Location | 2290 Diamond Blvd, Concord, California |
| Authorized Official Name and Position | Susan Cinelli (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9257987250 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2290 Diamond Blvd Suite #200 Concord CA 94520-5742 Ph: (925) 798-7250 | 2290 Diamond Blvd Suite #202 Concord CA 94520-5742 Ph: (925) 685-7410 |
| NPI Number | 1346446457 |
|---|---|
| Provider Enumeration Date | 06/25/2007 |
| Last Update Date | 04/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346446457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 070001XN (California) | Primary |
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