| Piedmont Primary Care | |
|
1345 Grand Ave Suite 103 Piedmont CA 94610-1000 | |
| (510) 428-4900 | |
| (510) 428-4904 |
| Full Name | Piedmont Primary Care |
|---|---|
| Speciality | Family Medicine |
| Location | 1345 Grand Ave, Piedmont, California |
| Authorized Official Name and Position | Debra Turner (CEO) |
| Authorized Official Contact | 5104284900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Piedmont Primary Care 1345 Grand Ave Suite 103 Piedmont CA 94610-1000 Ph: (510) 428-4900 | Piedmont Primary Care 1345 Grand Ave Suite 103 Piedmont CA 94610-1000 Ph: (510) 428-4900 |
| NPI Number | 1710236906 |
|---|---|
| Provider Enumeration Date | 09/03/2012 |
| Last Update Date | 08/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710236906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G54090 (California) | Primary |
Piedmont Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1345 Grand Ave, Suite 103, Piedmont, CA 94610 Phone: 510-428-4900 Fax: 510-428-4904 |