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Organization
MERCY DOCTORS MEDICAL GROUP INC
Active
Organization
MERCY DOCTORS MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL E BRICCA D.O. (PRESIDENT)
(415) 752-0100
Entity
Organization
Contact information
Practice address
1 SHRADER ST, SUITE 640, SAN FRANCISCO, CA 94117-1016
(415) 752-0100
(415) 752-7103
Mailing address
1 SHRADER ST, SUITE 640, SAN FRANCISCO, CA 94117-1016
(415) 752-0100
(415) 752-7103
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20A5403
CA
207R00000X
Internal Medicine Physician
20A6178
CA
207R00000X
Internal Medicine Physician
A49422
CA
207R00000X
Internal Medicine Physician
C24372
CA
207R00000X
Internal Medicine Physician
Primary
C33715
CA
207R00000X
Internal Medicine Physician
G27664
CA
207R00000X
Internal Medicine Physician
G61346
CA
207R00000X
Internal Medicine Physician
G77043
CA
207R00000X
Internal Medicine Physician
G79073
CA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
20A5403
CA
207RR0500X
Rheumatology Physician
A49422
CA
207RR0500X
Rheumatology Physician
C24372
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A494220
—
CA
05
—
00C337150
—
CA
05
—
00G276640
—
CA
05
—
00G613460
—
CA
05
—
00G770430
—
CA
05
—
00G790730
—
CA
05
—
020A54030
—
CA
Enumeration date
08/14/2006
Last updated
08/19/2014
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