Infectious Disease Medical Group
NPI #1154446425 in San Ramon, California
Provider Information
- NPI Number
- 1154446425
- Entity Type
- Organization
- Organization Name
- Infectious Disease Medical Group
- Primary Specialty
- Internal Medicine - Infectious Disease
- Enumeration Date
- Mar 19, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 5601 NORRIS CANYON RD
- Address 2
- SUITE 210
- City
- San Ramon
- State
- California
- ZIP Code
- 94583-5407
- Phone
- (925) 867-3829
Authorized Official
- Name
- DR. BENEDICT VILLANUEVA, M.D.
- Title
- CEO
- Phone
- (925) 867-3829
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Infectious Disease — Infectious Disease |
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