Organization
MEDICAL ONE, LLC
Active
Other names
MedicalOne Behavioral Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICTORIA C NWOKOCHAH (ADMINISTRATOR)
(925) 436-3155
Entity
Organization
Contact information
Practice address
2213 BUCHANAN RD STE 202, ANTIOCH, CA 94509-4265
(925) 436-3155
(925) 278-6600
Mailing address
PO BOX 3252, ANTIOCH, CA 94531-3252
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
697899
LICENSE
CA
Enumeration date
11/22/2018
Last updated
11/22/2018
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