| Primary Care Of Walnut Creek | |
|
120 La Casa Via Ste 101 Walnut Creek CA 94598-3092 | |
| (925) 296-0344 | |
| (925) 947-5424 |
| Full Name | Primary Care Of Walnut Creek |
|---|---|
| Speciality | Internal Medicine |
| Location | 120 La Casa Via Ste 101, Walnut Creek, California |
| Authorized Official Name and Position | Yevgeny Klebanov (PHYSICIAN) |
| Authorized Official Contact | 9252960344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Of Walnut Creek 120 La Casa Via Ste 101 Walnut Creek CA 94598-3092 Ph: (925) 296-0344 | Primary Care Of Walnut Creek 120 La Casa Via Ste 101 Walnut Creek CA 94598-3092 Ph: (925) 296-0344 |
| NPI Number | 1689176232 |
|---|---|
| Provider Enumeration Date | 02/28/2018 |
| Last Update Date | 02/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689176232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A126559 (California) | Primary |
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