East Bay Ent Fac Plas Sg MD Grp INC
NPI #1902099765 in San Ramon, California
Provider Information
- NPI Number
- 1902099765
- Entity Type
- Organization
- Organization Name
- East Bay Ent Fac Plas Sg MD Grp INC
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Aug 23, 2007
- Last Updated
- Aug 23, 2007
Practice Location
- Address
- 5401 NORRIS CANYON RD
- Address 2
- SUITE 302
- City
- San Ramon
- State
- California
- ZIP Code
- 94583-5409
- Phone
- (925) 277-9000
Authorized Official
- Name
- STEPHEN LARMORE, M.D.
- Title
- OWNER
- Phone
- (925) 277-9000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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