Imhotep Issaquena Medical Group, Inc. in San Pablo - Primary Care
Imhotep Issaquena Medical Group, Inc. - NPI 1831261270
Imhotep Issaquena Medical Group, Inc. is a Primary Care in San Pablo, California. Imhotep Issaquena Medical Group, Inc. practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Imhotep Issaquena Medical Group, Inc. is 1831261270. The last update date is 2008-06-27.
Imhotep Issaquena Medical Group, Inc.'s current location address is 2023 Vale Rd, San Pablo, California. You can contact this provider via phone number 5102310955 and fax number 5102310482. The mailing address for Imhotep Issaquena Medical Group, Inc. is 2023 Vale Rd, San Pablo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Imhotep Issaquena Medical Group, Inc. |
|---|---|
| Address | 2023 Vale Rd, San Pablo, California |
| Phone Number | 5102310955 |
| Fax Number | 5102310482 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Rounds Eugene Otis |
| Credentials | MD |
| Telephone Number | 5102310955 |
NPI Number Detail
| NPI Number | 1831261270 |
|---|---|
| Provider Enumeration Date | 2006-11-14 |
| Last Updated Date | 2008-06-27 |
Provider Mailing Address Detail
| Address | 2023 Vale Rd |
|---|---|
| City | San Pablo |
| State | California (CA) |
| Post Code | 948063834 |
| Phone Number | 5102310955 |
| Fax Number | 5102310482 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 261Qp2300X |
| Licence No | G37795 |
|
Definition: Serves as the first point of contact for comprehensive healthcare services. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G37795 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Imhotep Issaquena Medical Group, Inc. by the Centers for Medicare & Medicaid Services?
The Imhotep Issaquena Medical Group, Inc. has been assigned the NPI (National Provider Identifier) 1831261270 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Imhotep Issaquena Medical Group, Inc.?
The Imhotep Issaquena Medical Group, Inc. is situated at 2023 Vale Rd, in the city of San Pablo, state of CA, with the zip code 948063834.
What is Imhotep Issaquena Medical Group, Inc.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Imhotep Issaquena Medical Group, Inc. is Primary Care, and the corresponding taxonomy classification code for this specialized field is 261Qp2300X.
On what date did the Imhotep Issaquena Medical Group, Inc. receive its 1831261270 assignment from the Centers for Medicare & Medicaid Services?
The Imhotep Issaquena Medical Group, Inc. was assigned its 1831261270 by the Centers for Medicare & Medicaid Services on 2006-11-14.
As of what date were the details related to Imhotep Issaquena Medical Group, Inc. most recently updated or revised?
The information pertaining to Imhotep Issaquena Medical Group, Inc., including its address, specialty, and other relevant details, was last updated or revised on 2008-06-27.
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