Organization
CASA VERDE PEDIATRICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA M ASTA MD (PRESIDENT)
(925) 939-7334
Entity
Organization
Contact information
Practice address
301 LENNON LN STE 203, WALNUT CREEK, CA 94598-2483
(925) 939-7334
(925) 939-7340
Mailing address
301 LENNON LN STE 203, WALNUT CREEK, CA 94598-2483
(925) 939-7334
(925) 939-7340
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G083245
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2174226
—
CA
Enumeration date
07/05/2006
Last updated
08/22/2020
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