| Imhotep Issaquena Medical Group, Inc. | |
|
2023 Vale Rd Suite 211 San Pablo CA 94806-3834 | |
| (510) 231-0955 | |
| (510) 231-0482 |
| Full Name | Imhotep Issaquena Medical Group, Inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2023 Vale Rd, San Pablo, California |
| Authorized Official Name and Position | Otis Eugene Rounds (PRESIDENT) |
| Authorized Official Contact | 5102310955 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imhotep Issaquena Medical Group, Inc. 2023 Vale Rd Suite 211 San Pablo CA 94806-3834 Ph: (510) 231-0955 | Imhotep Issaquena Medical Group, Inc. 2023 Vale Rd Suite 211 San Pablo CA 94806-3834 Ph: (510) 231-0955 |
| NPI Number | 1831261270 |
|---|---|
| Provider Enumeration Date | 11/14/2006 |
| Last Update Date | 06/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831261270 | NPI | - | NPPES |
| 00G37795 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | G37795 (California) | Primary |
University Healthcare Alliance Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100a San Pablo Town Center, San Pablo, CA 94806 Phone: 510-237-2802 | |
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Lifelong Brookside Community Health Center San Pablo Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2023 Vale Rd, Ste 107, San Pablo, CA 94806 Phone: 510-215-9092 Fax: 510-412-9867 | |
Dr Marvi V Rijhwani Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13328 San Pablo Ave, San Pablo, CA 94806 Phone: 510-235-3720 Fax: 510-235-0789 | |
Vituity Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1900 Church Ln, San Pablo, CA 94806 Phone: 510-235-5514 | |
Docs Of The Bay Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2023 Vale Rd Ste 207, San Pablo, CA 94806 Phone: 510-237-1100 | |
Center For Digestive Disorders Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2089 Vale Rd Ste 33, Suite 33, San Pablo, CA 94806 Phone: 510-234-5012 Fax: 510-234-4921 |