| John Muir Physician Network | |
|
1220 Rossmoor Pkwy Walnut Creek CA 94595-2501 | |
| (925) 939-1220 | |
| (925) 988-7574 |
| Full Name | John Muir Physician Network |
|---|---|
| Speciality | Internal Medicine |
| Location | 1220 Rossmoor Pkwy, Walnut Creek, 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 1220 Rossmoor Pkwy Walnut Creek CA 94595-2501 Ph: (925) 939-1220 |
| NPI Number | 1407801384 |
|---|---|
| Provider Enumeration Date | 05/22/2006 |
| Last Update Date | 06/21/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407801384 | NPI | - | NPPES |
| GR006875I | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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