Organization
ANTIOCH MEDICAL PARK MEDICAL GROUP
Active
Other names
ANTIOCH MEDICAL PARK
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J GENE ZIMMERMAN MD (SENIOR MD)
(925) 754-9223
Entity
Organization
Contact information
Practice address
3737 LONE TREE WAY, ANTIOCH, CA 94509-6065
(925) 754-9223
(925) 754-3945
Mailing address
3737 LONE TREE WAY, ANTIOCH, CA 94509-6065
(925) 754-9223
(925) 754-3945
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A19234
CA
207V00000X
Obstetrics & Gynecology Physician
G44114
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ76320Z
—
CA
Enumeration date
09/06/2006
Last updated
01/23/2008
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