Solano Primary Care Medical Group | |
155 Glen Cove Marina Rd E # 10 Vallejo CA 94591-7284 | |
(707) 558-8699 | |
Not Available |
Full Name | Solano Primary Care Medical Group |
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Speciality | Family Medicine |
Location | 155 Glen Cove Marina Rd E # 10, Vallejo, California |
Authorized Official Name and Position | Fred Bayon (MD) |
Authorized Official Contact | 7075588699 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Solano Primary Care Medical Group 155 Glen Cove Marina Rd E # 10 Vallejo CA 94591-7284 Ph: (707) 558-8699 | Solano Primary Care Medical Group 155 Glen Cove Marina Rd E # 10 Vallejo CA 94591-7284 Ph: (707) 558-8699 |
NPI Number | 1083763155 |
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Provider Enumeration Date | 01/09/2007 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 3274577606 |
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Medicare Enrollment ID | O20050615001119 |
Identifier | Type | State | Issuer |
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1083763155 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Paige A Yoshisato |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1770586802 PECOS PAC ID: 2961469713 Enrollment ID: I20041214000507 |
Provider Name | Fred Bayon |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1225031362 PECOS PAC ID: 6507925443 Enrollment ID: I20081113000190 |
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