TRI-VALLEY FAMILY MEDICINE NPI 1245483759

NPI Information

TRI-VALLEY FAMILY MEDICINE is a family medicine in Livermore, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. TRI-VALLEY FAMILY MEDICINE NPI is 1245483759. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1133 E STANLEY BLVD
SUITE 201
LIVERMORE, CA
ZIP 94550-200
Phone: (925) 443-9000
Fax: (925) 443-9009

The provider's authorized official is Lorena H Tan .
The authorized official title is Owner and has the following contact phone number (925) 443-9000.

The CLIA number assigned to this NPI record is 05D1094609 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/28/2008 and was last updated on 11/15/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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