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5801 Norris Canyon Rd Ste. 230 San Ramon CA 94583 | |
| (925) 275-9966 | |
| (925) 275-9823 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 5801 Norris Canyon Rd, San Ramon, California |
| Authorized Official Name and Position | David T. Wong (PRESIDENT) |
| Authorized Official Contact | 9252759966 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5801 Norris Canyon Rd Ste. 230 San Ramon CA 94583 Ph: (925) 275-9966 | 5801 Norris Canyon Rd Ste. 230 San Ramon CA 94583 Ph: (925) 275-9966 |
| NPI Number | 1891706669 |
|---|---|
| Provider Enumeration Date | 08/10/2006 |
| Last Update Date | 08/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891706669 | NPI | - | NPPES |
| ZZZ57371Z | Other | CA | BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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