Imhotep Issaquena Medical Group, Inc
Imhotep Issaquena Medical Group, Inc is a Primary Care Clinic/Center in San Pablo, California. Licensed in California. Registered with an NPI since 2006.
- Licensed in
- CA
- In the registry since
- 2006
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2023 Vale Rd Ste 211San Pablo, CA 94806-3834
Phone: (510) 231-0955
Fax: (510) 231-0482
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X · Licence G37795 (CA) |
|---|
Record details
| NPI number | 1831261270 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Otis Rounds — President · (510) 231-0955 |
| NPI enumerated | November 14, 2006 |
| Last updated in NPPES | June 27, 2008 |
| Mailing address | 2023 Vale Rd, Suite 211, San Pablo, CA 94806-3834 |
Other providers in San Pablo
-
Brookside Community Health Center
2023 Vale Rd Ste 107, San Pablo, CA 94806-3834 · (510) 215-9092