Organization
GENESIS INFINITY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHNFREI DELARIMAN (CEO)
(510) 227-9151
Entity
Organization
Contact information
Practice address
2445-2447 SANTA CLARA AVE STE 305, ALAMEDA, CA 94501
(510) 426-5640
Mailing address
2445-2447 SANTA CLARA AVE STE 305, ALAMEDA, CA 94501
(510) 426-5640
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/28/2022
Last updated
03/23/2022
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