| John Muir Physician Network | |
|
2400 Balfour Rd Suite 120 Brentwood CA 94513-4945 | |
| (925) 308-8113 | |
| (925) 308-8701 |
| Full Name | John Muir Physician Network |
|---|---|
| Speciality | Family Medicine |
| Location | 2400 Balfour Rd, Brentwood, 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 2400 Balfour Rd Suite 120 Brentwood CA 94513-4945 Ph: (925) 308-8113 |
| NPI Number | 1225058019 |
|---|---|
| Provider Enumeration Date | 07/21/2006 |
| Last Update Date | 06/21/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225058019 | NPI | - | NPPES |
| GR6875G | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (California) | Primary |
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