institution
Meridian Medical Group, P.c.
General Practice Physician in Manteca, California
NPI 1932380383

Meridian Medical Group, P.c. is a General Practice Physician based in San Jose, CA. Meridian Medical Group, P.c. practices in Manteca, CA. The NPI Number for Meridian Medical Group, P.c. is 1932380383 and holds a License No. (California).

The current practice location address for Meridian Medical Group, P.c. is 330 Northgate Dr, Manteca, CA and can be reached out via phone at 209-624-5288 and via fax at 209-624-5289.

Location: 330 Northgate Dr, Manteca, CA, 95156-3278
institution
Provider Profile Details
NPI Number
1932380383
Provider Name
Meridian Medical Group, P.c.
Credential
Provider Entity Type
Organization
Address
330 Northgate Dr, Manteca, CA, 95156-3278
Phone Number
209-624-5288
Fax Number
209-624-5289
Provider Enumeration Date
11/14/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GR0070180 05 CA
GR0070181 05 CA
ZZZ41448Z 01 CA BLUE SHIELD
1457439572 01 CA NPI NUMBER
1972602464 01 CA NPI NUMBERS
1730273855 01 CA NPI NUMBERS
GR0070182 05 CA
1134228752 01 CA NPI NUMBER
1720171598 01 CA NPI NUMBER
institution
Provider Business Practice Location Address Details
Address
330 Northgate Dr
City
State
Zip
95336-3139
Phone Number
209-624-5288
Fax Number
209-624-5289
person
Provider Business Mailing Address Details
Address
330 Northgate Dr
City
State
Zip
95336-3139
Phone Number
209-624-5288
Fax Number
209-624-5289
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
(California)
Definition
Definition to come...
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