Organization
ALLIANCE MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD M. SANKARY MD (PRESIDENT)
(510) 724-9110
Entity
Organization
Contact information
Practice address
2160 APPIAN WAY, SUITE 200, PINOLE, CA 94564-2524
(510) 724-9110
(916) 239-3611
Mailing address
2160 APPIAN WAY, SUITE 200, PINOLE, CA 94564-2524
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RN0300X
Nephrology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0081630
—
CA
Enumeration date
06/22/2006
Last updated
05/23/2008
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