Tassajara Valley Medical Group Pc | |
1258 Concannon Blvd Livermore CA 94550-6002 | |
(925) 443-8040 | |
(925) 443-1065 |
Full Name | Tassajara Valley Medical Group Pc |
---|---|
Speciality | Internal Medicine |
Location | 1258 Concannon Blvd, Livermore, California |
Authorized Official Name and Position | Raafat K Zamary (PRESIDENT) |
Authorized Official Contact | 9254438040 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Tassajara Valley Medical Group Pc 1258 Concannon Blvd Livermore CA 94550-6002 Ph: (925) 443-8040 | Tassajara Valley Medical Group Pc 1258 Concannon Blvd Livermore CA 94550-6002 Ph: (925) 443-8040 |
NPI Number | 1134179237 |
---|---|
Provider Enumeration Date | 05/11/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134179237 | NPI | - | NPPES |
GR0091680 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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