| Ronald G Campos, Md Inc | |
|
1844 San Miguel Dr Ste 307 Walnut Creek CA 94596-4963 | |
| (925) 943-1333 | |
| (925) 933-1822 |
| Full Name | Ronald G Campos, Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1844 San Miguel Dr Ste 307, Walnut Creek, California |
| Authorized Official Name and Position | Jeffrey Tover (MANAGER) |
| Authorized Official Contact | 9259431333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald G Campos, Md Inc 1844 San Miguel Dr Ste 307 Walnut Creek CA 94596-4963 Ph: (925) 943-1333 | Ronald G Campos, Md Inc 1844 San Miguel Dr Ste 307 Walnut Creek CA 94596-4963 Ph: (925) 943-1333 |
| NPI Number | 1831497437 |
|---|---|
| Provider Enumeration Date | 03/05/2011 |
| Last Update Date | 03/05/2011 |
| Medicare PECOS PAC ID | 6709049448 |
|---|---|
| Medicare Enrollment ID | O20120517000031 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831497437 | NPI | - | NPPES |
| G345730 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G00034573 (California) | Primary |
| Provider Name | Ronald G Campos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366505778 PECOS PAC ID: 2466443015 Enrollment ID: I20120517000071 |
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