| John Muir Physician Network | |
|
3440 Hillcrest Ave Suite 150 Antioch CA 94531-8238 | |
| (925) 779-1331 | |
| (925) 779-1585 |
| Full Name | John Muir Physician Network |
|---|---|
| Speciality | Family Medicine |
| Location | 3440 Hillcrest Ave, Antioch, California |
| Authorized Official Name and Position | M Katherine Sorenson (VICE PRESIDENT PRACTICE ADM) |
| Authorized Official Contact | 9259522888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John Muir Physician Network Dept 34929 P.o. Box 39000 San Francisco CA 94139-0001 Ph: (925) 952-2828 | John Muir Physician Network 3440 Hillcrest Ave Suite 150 Antioch CA 94531-8238 Ph: (925) 779-1331 |
| NPI Number | 1477571057 |
|---|---|
| Provider Enumeration Date | 07/18/2006 |
| Last Update Date | 06/21/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477571057 | NPI | - | NPPES |
| GR0068754 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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