Organization
NORCAL UROLOGY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL F DEVIVO (PRACTICE ADMINISTRATOR)
(510) 465-5800
Entity
Organization
Contact information
Practice address
2700 GRANT ST, SUITE 316, CONCORD, CA 94520-2266
(925) 825-8100
Mailing address
3300 WEBSTER ST, SUITE 710, OAKLAND, CA 94609
(510) 465-5800
(510) 839-8984
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
09/19/2008
Last updated
04/14/2011
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