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Individual

DR. ALFORT BRIONES SANTOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.,R.N

Contact information

Practice address
3687 MT DIABLO BLVD STE 200, LAFAYETTE, CA 94549-3746
(916) 854-6975
Mailing address
1261 STONEY CREEK DR, SAN RAMON, CA 94582-5627
(925) 482-5316
(925) 551-4962

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A105031
CA
208M00000X
Hospitalist Physician
Primary
A105031
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A105031
STATE LICENSE
CA
Enumeration date
10/12/2007
Last updated
07/21/2022
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