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CARBON HEALTH EAST BAY MEDICAL GROUP PC NPI 1972243574


NPI Information

NPI: 1972243574
Provider Name: CARBON HEALTH EAST BAY MEDICAL GROUP PC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
5829 LONE TREE WAY # D110
ANTIOCH, CA
ZIP 94531
Phone: (925) 204-3715
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CARBON HEALTH EAST BAY MEDICAL GROUP PC is an urgent care clinic center in Antioch, CA. CARBON HEALTH EAST BAY MEDICAL GROUP PC NPI is 1972243574. The provider is registered as an organization entity type.

The provider's business location address is:

5829 LONE TREE WAY # D110
ANTIOCH, CA
ZIP 94531-603
Phone: (925) 204-3715
Fax: (888) 972-1912

The provider's authorized official is Gianna Papa .
The authorized official title is Credentialing Manager and has the following contact phone number (617) 894-1718.

The enumeration date for this NPI number is 3/31/2022 and was last updated on 3/31/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QU0200XClinic/CenterUrgent CareYes

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: 4/28/2024

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