Healthcare Provider Details

I. General information

NPI: 1508435983
Provider Name (Legal Business Name): CONTRA COSTA COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2021
Last Update Date: 10/13/2025
Certification Date: 10/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 BATES AVE STE B
CONCORD CA
94520-1208
US

IV. Provider business mailing address

2500 BATES AVE STE B
CONCORD CA
94520-1378
US

V. Phone/Fax

Practice location:
  • Phone: 925-608-5200
  • Fax: 925-608-5188
Mailing address:
  • Phone: 925-608-5200
  • Fax: 925-608-5188

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: DAVID D. LEE
Title or Position: DEPUTY CFO
Credential: MBA, FHFMA
Phone: 925-957-5445