Organization
JOHN MUIR HEALTH
Active
Other names
MT. DIABLO HOSPITAL EKG DEPT
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL THOMAS (CEO)
(925) 212-0216
Entity
Organization
Contact information
Practice address
2540 EAST ST, CONCORD, CA 94520-1906
(925) 939-3000
(925) 941-2236
Mailing address
5003 COMMERCIAL CIR, CONCORD, CA 94520-1268
(925) 939-3000
(925) 941-2236
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050496
BLUE CROSS
CA
01
—
ZZZC0702Z
BLUE SHIELD
CA
Enumeration date
05/01/2007
Last updated
01/04/2024
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