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Organization

PRIMARY CARE OF WALNUT CREEK

Active
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Organization

PRIMARY CARE OF WALNUT CREEK

Active
Organization subpart
No

Provider details

NPI number
Authorized official
YEVGENY KLEBANOV MD (PHYSICIAN)
(925) 296-0344
Entity
Organization

Contact information

Practice address
120 LA CASA VIA STE 101, WALNUT CREEK, CA 94598-3092
(925) 296-0344
(925) 947-5424
Mailing address
120 LA CASA VIA STE 101, WALNUT CREEK, CA 94598-3092
(925) 296-0344
(925) 947-5424

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A126559
CA

Other

Enumeration date
02/28/2018
Last updated
02/28/2018
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