institution
Imhotep Issaquena Medical Group, Inc.
Primary Care Clinic/Center in San Pablo, California
NPI 1831261270

Imhotep Issaquena Medical Group, Inc. is a Primary Care Clinic/Center based in San Pablo, CA and is specialized in Primary Care. Imhotep Issaquena Medical Group, Inc. practices in San Pablo, CA. The NPI Number for Imhotep Issaquena Medical Group, Inc. is 1831261270 and holds a License No. G37795 (California).

The current practice location address for Imhotep Issaquena Medical Group, Inc. is 2023 Vale Rd, San Pablo, CA and can be reached out via phone at 510-231-0955 and via fax at 510-231-0482.

Location: 2023 Vale Rd, San Pablo, CA, 94806-3834
institution
Provider Profile Details
NPI Number
1831261270
Provider Name
Imhotep Issaquena Medical Group, Inc.
Credential
Provider Entity Type
Organization
Address
2023 Vale Rd, San Pablo, CA, 94806-3834
Phone Number
510-231-0955
Fax Number
510-231-0482
Provider Enumeration Date
11/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G37795 05 CA
institution
Provider Business Practice Location Address Details
Address
2023 Vale Rd
City
State
Zip
94806-3834
Phone Number
510-231-0955
Fax Number
510-231-0482
person
Provider Business Mailing Address Details
Address
2023 Vale Rd
City
State
Zip
94806-3834
Phone Number
510-231-0955
Fax Number
510-231-0482
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
G37795 (California)
Definition
Definition to come...
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