John Muir Physician Network

LBN: John Muir Physician Network
John Muir Physician Network is an health care organization with primary practice located at 2400 Balfour Rd Suite 229, Brentwood CA 94513-4945. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. John Muir Physician Network can be contacted via phone (925) 308-8113, or through Sorenson, Mary Katherine via phone (925) 952-2888.

Contact Information

Primary practice address
2400 Balfour Rd Suite 229 Brentwood CA 94513-4945
Fax: (925) 308-8701
Website:
Authorized official contact:
Name: Sorenson, Mary Katherine

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X California

Profile Details

NPI number 1760621528
LBN Legal business name John Muir Physician Network
DBA Doing business as
Authorized official Sorenson, Mary Katherine
Entity Organization
Organization subpart 1 No
Enumeration date Feb 18th, 2009
Last updated Jun 21st, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760621528 NPPES
California MEDICAID GR006875G

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