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PRIMARY CARE OF WALNUT CREEK NPI 1689176232


NPI Information

NPI: 1689176232
Provider Name: PRIMARY CARE OF WALNUT CREEK
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
120 LA CASA VIA STE 101
WALNUT CREEK, CA
ZIP 94598
Phone: (925) 296-0344
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PRIMARY CARE OF WALNUT CREEK is an internal medicine in Walnut Creek, CA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. PRIMARY CARE OF WALNUT CREEK NPI is 1689176232. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

120 LA CASA VIA STE 101
WALNUT CREEK, CA
ZIP 94598-092
Phone: (925) 296-0344
Fax: (925) 947-5424

The provider's authorized official is Yevgeny Klebanov .
The authorized official title is Physician and has the following contact phone number (925) 296-0344.

The enumeration date for this NPI number is 2/28/2018 and was last updated on 2/28/2018.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineA126559CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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