| NPI | 1720595564 |
|---|---|
| Other Name | CCMG |
| Entity Type | Organization |
| Authorized Contact | KRISTINE RUSLEN Director Of Reimbursement 510-974-8297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2018-01-02 |