| Pleasanton Family Medical Center, Inc. | |
|
11030 Bollinger Canyon Rd # 240 San Ramon CA 94582-4874 | |
| (925) 736-2200 | |
| (925) 736-6100 |
| Full Name | Pleasanton Family Medical Center, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 11030 Bollinger Canyon Rd, San Ramon, California |
| Authorized Official Name and Position | Alfred E Tan (CEO) |
| Authorized Official Contact | 9257362200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pleasanton Family Medical Center, Inc. 11030 Bollinger Canyon Rd # 240 San Ramon CA 94582-4874 Ph: (925) 736-2200 | Pleasanton Family Medical Center, Inc. 11030 Bollinger Canyon Rd # 240 San Ramon CA 94582-4874 Ph: (925) 736-2200 |
| NPI Number | 1114980612 |
|---|---|
| Provider Enumeration Date | 04/07/2006 |
| Last Update Date | 06/28/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114980612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | G48933 (California) | Primary |
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