Vericare Of California Medical Group

NPI 1164475299 - Nurse Practitioner - 363LP0808X

NPI Details
NPI 1164475299
Enumeration Date 05/18/2006
Last Updated 02/24/2016
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name BENNETT O BENNETT
Position ASSISTANT SECRETARY
Phone (800) 257-8715
Fax (800) 819-1655
Practice Location
2707 PINE ST
SAN FRANCISCO CA, 94115-2522, US
Phone (800) 257-8715
Fax (800) 819-1655
Business Location
4715 VIEWRIDGE AVE
STE 230
SAN DIEGO CA, 92123-1680, US
Phone (800) 257-8715
Fax (800) 816-1655
Toxanomy
Taxonomy Code 363LP0808X
License State
License Number
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According to our database, Vericare Of California Medical Group NPI is 1164475299, taxonomy code is 363LP0808X Vericare Of California Medical Group physically located at 2707 Pine St, San Francisco CA, 94115-2522. NPI Number 1033115704 has the healthcare provider type.

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1164475299 NPI number is provided on an as is basis without warranty of any kind. 1164475299 is maintained by the National Plan & Provider Enumeration System. The contents of Vericare Of California Medical Group are for informational purposes only.