| John Muir Physician Network | |
|
1455 Montego #104 Walnut Creek CA 94598-2990 | |
| (925) 952-2888 | |
| (925) 952-2845 |
| Full Name | John Muir Physician Network |
|---|---|
| Speciality | Family Medicine |
| Location | 1455 Montego, 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 Po Box 9017 Walnut Creek CA 94598-0917 Ph: (925) 952-2888 | John Muir Physician Network 1455 Montego #104 Walnut Creek CA 94598-2990 Ph: (925) 952-2888 |
| NPI Number | 1467475392 |
|---|---|
| Provider Enumeration Date | 07/25/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467475392 | NPI | - | NPPES |
| GR006875E | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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