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NPI Code Detail

MEDICARE: CONTRA COSTA COUNTY

MEDICARE: CONTRA COSTA COUNTY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP0905XState or Local Public Health Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CMM70773FOTHERCAPUBLIC HEALTH

General Provider Information

NPI Number : 1306910138
Entity Type Code : Organization
Provider Name (Legal Business Name) : CONTRA COSTA COUNTY
Provider Business Mailing Address
First Line : 50 DOUGLAS DR STE 310
Second Line :
City : MARTINEZ
State : CA
Zip : 94553-4003
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 100 38TH ST
Second Line :
City : RICHMOND
State : CA
Zip : 94805-2207
Country : US
Telephone Number : 925-957-5429
Fax Number :
Authorized Official
Title or Position : DEPUTY CFO
Name : DAVID D. LEE
Credential : MBA, FHFMA
Telephone Number : 925-957-5445
Provider Enumeration Date : 11/20/2006
Last Update Date : 10/20/2025

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Directions to “CONTRA COSTA COUNTY ” Practice Location

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