Organization
LIVERMORE PRIMARY CARE MEDICAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND JOSEPH ROWELL MD (PRESIDENT/CEO)
(925) 443-3232
Entity
Organization
Contact information
Practice address
42 FENTON ST, LIVERMORE, CA 94550-4144
(925) 443-3232
(925) 443-3239
Mailing address
42 FENTON ST, LIVERMORE, CA 94550-4144
(925) 443-3232
(925) 443-3239
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ62159Z
BLUE SHIELD
CA
Enumeration date
08/23/2007
Last updated
06/17/2014
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