Family Whole Health PC
Pediatrics in Walnut Creek, CA. Organization (NPI-2).
NPI number1295570067
StatusActive
Last updated in NPPESJun 25, 2024
Details
- NPI
- 1295570067
- Entity type
- Organization (NPI-2)
- Legal business name
- Family Whole Health PC
- Organization subpart
- No
- Enumeration date
- Jun 25, 2024
- Certification date
- Jun 25, 2024
- Last updated
- Jun 25, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | – | – | Yes |
| 207Q00000X | Family Medicine | – | – |
Practice location
1990 N California BlvdWalnut Creek, CA 94596-3742
Phone 800-491-2142 · Fax 800-491-2142
Mailing address
1990 N California BlvdWalnut Creek, CA 94596-3742
Phone 800-491-2142 · Fax 800-491-2142
Authorized official
Adonica Shaw
Manager
8004912142
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