| San Ramon Primary Care Medical Group Inc | |
|
200 Porter Dr Ste 300 San Ramon CA 94583-1587 | |
| (925) 838-6500 | |
| (925) 838-6542 |
| Full Name | San Ramon Primary Care Medical Group Inc |
|---|---|
| Speciality | Pediatrics |
| Location | 200 Porter Dr, San Ramon, California |
| Authorized Official Name and Position | Thomas Francis Long (PRESIDENT, SAN RAMON VALLEY PRIMARY) |
| Authorized Official Contact | 9258386500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Ramon Primary Care Medical Group Inc 200 Porter Dr Ste 300 San Ramon CA 94583-1587 Ph: (925) 838-6500 | San Ramon Primary Care Medical Group Inc 200 Porter Dr Ste 300 San Ramon CA 94583-1587 Ph: (925) 838-6500 |
| NPI Number | 1245211382 |
|---|---|
| Provider Enumeration Date | 11/07/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245211382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
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