Organization
INFECTIOUS DISEASE MEDICAL GROUP
Active
Organization
INFECTIOUS DISEASE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENEDICT VILLANUEVA M.D. (CEO)
(925) 867-3829
Entity
Organization
Contact information
Practice address
5601 NORRIS CANYON RD, SUITE 210, SAN RAMON, CA 94583-5407
(925) 867-3829
(925) 867-3820
Mailing address
5601 NORRIS CANYON RD, SUITE 210, SAN RAMON, CA 94583-5407
(925) 867-3829
(925) 867-3820
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
A61699
CA
Other
Enumeration date
03/19/2007
Last updated
08/22/2020
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