Healthcare Provider Details
I. General information
NPI: 1922281294
Provider Name (Legal Business Name): CONTRA COSTA COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/10/2007
Last Update Date: 10/09/2025
Certification Date: 10/09/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
597 CENTER AVE SUITE 150
MARTINEZ CA
94553-4640
US
IV. Provider business mailing address
597 CENTER AVE STE 150
MARTINEZ CA
94553-4674
US
V. Phone/Fax
- Phone: 925-313-6236
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP0905X |
| Taxonomy | State or Local Public Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DAVID
D.
LEE
Title or Position: DEPUTY CFO
Credential: MBA, FHFMA
Phone: 925-957-5445