| Willow Pass Medical Group | |
|
53 Manor Dr Suite A Bay Point CA 94565-6647 | |
| (925) 458-6125 | |
| (925) 458-8513 |
| Full Name | Willow Pass Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 53 Manor Dr, Bay Point, California |
| Authorized Official Name and Position | Gregg Synder Sorensen (PHYSICIAN/OWNER) |
| Authorized Official Contact | 9258903356 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Pass Medical Group 53 Manor Dr Suite A Bay Point CA 94565-6647 Ph: (925) 890-3356 | Willow Pass Medical Group 53 Manor Dr Suite A Bay Point CA 94565-6647 Ph: (925) 458-6125 |
| NPI Number | 1043494016 |
|---|---|
| Provider Enumeration Date | 12/26/2007 |
| Last Update Date | 12/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043494016 | NPI | - | NPPES |
| GR0030700 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G55173 (California) | Primary |
Bay Point Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 Pacifica Ave, Bay Point, CA 94565 Phone: 925-957-5429 |