Organization
MEDESTATE INC.
Active
Other names
ExcelCare Immediate Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH R. BROOKS MD (PRESIDENT/CEO)
(707) 745-2705
Entity
Organization
Contact information
Practice address
3431 BROADWAY ST, SUITE A-8, AMERICAN CANYON, CA 94503-1228
(707) 645-7229
Mailing address
2012 COLUMBUS PKWY, BENICIA, CA 94510-5400
(707) 745-2705
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/06/2010
Last updated
08/06/2010
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