| Full Care Medical Group, Inc. | |
|
3903 Lone Tree Way Suite 104 Antioch CA 94509-6249 | |
| (925) 755-1255 | |
| (925) 755-1259 |
| Full Name | Full Care Medical Group, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 3903 Lone Tree Way, Antioch, California |
| Authorized Official Name and Position | Terri A Khonsari (CFO BUSINESS MANAGER) |
| Authorized Official Contact | 9257551255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Full Care Medical Group, Inc. 3903 Lone Tree Way Suite 104 Antioch CA 94509-6249 Ph: (925) 755-1255 | Full Care Medical Group, Inc. 3903 Lone Tree Way Suite 104 Antioch CA 94509-6249 Ph: (925) 755-1255 |
| NPI Number | 1215960091 |
|---|---|
| Provider Enumeration Date | 07/08/2006 |
| Last Update Date | 12/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215960091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 48607 (California) | Primary |
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