Healthcare Provider Details

I. General information

NPI: 1316081722
Provider Name (Legal Business Name): EMILY C. CORRIGAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/18/2007
Last Update Date: 04/01/2020
Certification Date: 04/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 SIERRA ROAD
CONCORD CA
94518
US

IV. Provider business mailing address

P.O. BOX 22210
OAKLAND CA
94623
US

V. Phone/Fax

Practice location:
  • Phone: 408-554-9820
  • Fax:
Mailing address:
  • Phone: 510-535-2965
  • Fax: 510-535-4128

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberA117386
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberM-14737
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: