Organization
JOHN MUIR PERINATAL MEDICAL GROUP
Active
Parent organization
JOHN MUIR PHYSICIAN NETWORK
Organization subpart
Yes
Provider details
NPI number
Legal business name
JOHN MUIR PHYSICIAN NETWORK
Authorized official
M. KATHERINE SORENSON (VICE PRESIDENT)
(925) 952-2888
Entity
Organization
Contact information
Practice address
1656 N. CALFIORNIA BLVD., SUITE 300, WALNUT CREEK, CA 94596
(925) 941-7955
(925) 941-7986
Mailing address
PO BOX 9017, WALNUT CREEK, CA 94598-0917
(925) 941-7985
(925) 952-2850
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR006875K
—
CA
Enumeration date
06/24/2006
Last updated
12/17/2009
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