| Livermore Primary Care Medical Associates, Inc. | |
|
42 Fenton St Livermore CA 94550-4144 | |
| (925) 443-3232 | |
| (925) 443-3239 |
| Full Name | Livermore Primary Care Medical Associates, Inc. |
|---|---|
| Speciality | General Practice |
| Location | 42 Fenton St, Livermore, California |
| Authorized Official Name and Position | Raymond Joseph Rowell (PRESIDENT/CEO) |
| Authorized Official Contact | 9254433232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Livermore Primary Care Medical Associates, Inc. 42 Fenton St Livermore CA 94550-4144 Ph: (925) 443-3232 | Livermore Primary Care Medical Associates, Inc. 42 Fenton St Livermore CA 94550-4144 Ph: (925) 443-3232 |
| NPI Number | 1518150564 |
|---|---|
| Provider Enumeration Date | 08/23/2007 |
| Last Update Date | 06/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518150564 | NPI | - | NPPES |
| ZZZ62159Z | Other | CA | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (California) | Primary |
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Livermore Primary Care Medical Associates, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 42 Fenton St, Livermore, CA 94550 Phone: 925-443-3232 Fax: 925-443-3239 | |
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