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Organization
WASHINGTON NEWARK MEDICAL GROUP
Active
Organization
WASHINGTON NEWARK MEDICAL GROUP
Active
Other names
Washington Clinic/Warm Springs
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE ADAMS (CLINIC MANAGER)
(510) 651-2371
Entity
Organization
Contact information
Practice address
46690 MOHAVE DR, FREMONT, CA 94539-7001
(510) 651-2371
(510) 661-0380
Mailing address
46690 MOHAVE DR, FREMONT, CA 94539-7001
(510) 651-2371
(510) 661-0380
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GR0085451
MEDI-CAL GROUP #
CA
01
—
ZZZ58740Z
BLUE SHIELD GROUP#
CA
Enumeration date
08/25/2006
Last updated
08/22/2020
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