J&j Henry Medical Group | |
2645 Snyder Ct Walnut Creek CA 94598-4445 | |
(510) 409-6511 | |
(402) 434-6047 |
Full Name | J&j Henry Medical Group |
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Speciality | Internal Medicine |
Location | 2645 Snyder Ct, Walnut Creek, California |
Authorized Official Name and Position | Joseph P Henry (OWNER/DOCTOR) |
Authorized Official Contact | 5104096511 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
J&j Henry Medical Group 2645 Snyder Ct Walnut Creek CA 94598 Ph: (510) 409-6511 | J&j Henry Medical Group 2645 Snyder Ct Walnut Creek CA 94598-4445 Ph: (510) 409-6511 |
NPI Number | 1700391968 |
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Provider Enumeration Date | 12/11/2017 |
Last Update Date | 10/25/2024 |
Medicare PECOS PAC ID | 3173885639 |
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Medicare Enrollment ID | O20180320003407 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700391968 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A116018 (California) | Primary |
207R00000X | Internal Medicine | A121536 (California) | Secondary |
Provider Name | Joseph Henry |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1003139445 PECOS PAC ID: 5092963199 Enrollment ID: I20120914000352 |
Provider Name | Jessica M Clima |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1932425105 PECOS PAC ID: 8820213457 Enrollment ID: I20140715001363 |
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