Organization
JOHN MUIR HEALTH
Active
Other names
John Muir Medical Center Walnut Creek
Organization subpart
No
Provider details
NPI number
Authorized official
MR. J KENDALL ANDERSON (CHIEF EXECUTIVE OFFICER)
(925) 939-3000
Entity
Organization
Contact information
Practice address
1601 YGNACIO VALLEY RD, WALNUT CREEK, CA 94598-3122
(925) 939-3000
(925) 941-2236
Mailing address
1400 TREAT BLVD, WALNUT CREEK, CA 94597-2142
(925) 947-3336
(925) 941-2236
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
05D0680025
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050180
BLUE CROSS
CA
01
—
HSP40180F
MEDICAL OUTPATIENT
CA
05
—
ZZR00180F
—
CA
01
—
ZZZA07032
BLUE SHIELD
CA
Enumeration date
03/16/2010
Last updated
03/16/2010
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