John Muir Trauma Physician Medical Group

LBN: John Muir Trauma Physician Medical Group
John Muir Trauma Physician Medical Group is an health care organization with primary practice located at 1601 Ygnacio Valley Rd , Walnut Creek CA 94598-3122. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as the primary health care specialty. John Muir Trauma Physician Medical Group can be contacted via phone (925) 947-5331, or through Moody, Michael via phone (925) 941-2159.

Contact Information

Primary practice address
1601 Ygnacio Valley Rd Walnut Creek CA 94598-3122
Phone: (925) 947-5331
Fax: (925) 941-2177
Website:
Map and Directions
Authorized official contact:
Name: Moody, Michael
Phone: (925) 941-2159

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X

Profile Details

NPI number 1801945647
LBN Legal business name John Muir Trauma Physician Medical Group
DBA Doing business as
Authorized official Moody, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Jan 10th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801945647 NPPES
California MEDICAID GR0028140

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