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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
1261QF0050XNon-Surgical Family Planning Clinic/Center140000090CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417036484
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 : 13601 SAN PABLO AVE
Second Line :
City : SAN PABLO
State : CA
Zip : 94806-3818
Country : US
Telephone Number : 925-957-5429
Fax Number : 925-957-5401
Authorized Official
Title or Position : DEPUTY CFO
Name : DAVID D. LEE
Credential : MBA, FHFMA
Telephone Number : 925-957-5445
Provider Enumeration Date : 11/02/2006
Last Update Date : 10/08/2025

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Directions to “CONTRA COSTA COUNTY ” Practice Location

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