Organization
JOHN MUIR HEALTH
Active
Parent organization
JOHN MUIR HEALTH
Other names
John Muir Health - Walnut Creek Campus
Organization subpart
Yes
Provider details
NPI number
Legal business name
JOHN MUIR HEALTH
Authorized official
MR. MICHAEL D. MOODY (CHIEF FINANCIAL OFFICER)
(925) 941-2159
Entity
Organization
Contact information
Practice address
1601 YGNACIO VALLEY RD, WALNUT CREEK, CA 94598-3122
(925) 939-3000
(925) 947-3255
Mailing address
1400 TREAT BLVD, WALNUT CREEK, CA 94597-2142
(925) 939-3000
(925) 941-2236
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
140000285
CA
207RG0100X
Gastroenterology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207W00000X
Ophthalmology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
2084N0400X
Neurology Physician
—
—
208600000X
Surgery Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
208800000X
Urology Physician
—
—
Other
Enumeration date
11/16/2011
Last updated
11/16/2011
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