Organization
DANVILLE-SAN RAMON EYE MEDICAL CORP
Active
Other names
Roger A Greenwald MD Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CLAUDIA SUSANA PINILLA MD (PRESIDENT)
(925) 837-6428
Entity
Organization
Contact information
Practice address
909 SAN RAMON VALLEY BLVD, STE 114, DANVILLE, CA 94526-4038
(925) 837-6428
(925) 837-1403
Mailing address
909 SAN RAMON VALLEY BLVD, STE 114, DANVILLE, CA 94526-4038
(925) 837-6428
(925) 837-1403
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CS4583
MEDICARE RR
CA
05
—
GR0084620
—
CA
01
—
ZZZ57540Z
BLUE SHIELD
CA
Enumeration date
10/05/2005
Last updated
07/21/2022
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