| Los Medanos Medical Group, Inc. | |
|
3006 Railroad Ave Pittsburg CA 94565-5202 | |
| (925) 432-2977 | |
| (925) 432-6418 |
| Full Name | Los Medanos Medical Group, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 3006 Railroad Ave, Pittsburg, California |
| Authorized Official Name and Position | Michael Russell (PRESIDENT) |
| Authorized Official Contact | 9254322977 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Los Medanos Medical Group, Inc. 3006 Railroad Ave Pittsburg CA 94565-5202 Ph: (925) 432-2977 | Los Medanos Medical Group, Inc. 3006 Railroad Ave Pittsburg CA 94565-5202 Ph: (925) 432-2977 |
| NPI Number | 1992867576 |
|---|---|
| Provider Enumeration Date | 12/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992867576 | NPI | - | NPPES |
| ZZZ71706Z | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G30873 (California) | Primary |
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Sung Ha Ryoo M D Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2250 Gladstone Dr Ste 1, Pittsburg, CA 94565 Phone: 925-432-8422 Fax: 925-432-8264 | |
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Planned Parenthood Northern California Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3715 Railroad Ave, Suite B, Pittsburg, CA 94565 Phone: 925-439-1237 Fax: 925-439-8974 | |
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