Individual
SIMON MA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
2500 MERCED ST, SAN LEANDRO, CA 94577-4201
(510) 454-1000
Mailing address
2500 MERCED ST, SAN LEANDRO, CA 94577-4201
(510) 454-1000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
191827
CA
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
191827
CA
Other
Enumeration date
04/15/2021
Last updated
10/06/2025
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