| Oconnor Physician Group Inc | |
|
1690 San Pablo Ave Suite F Pinole CA 94564-2078 | |
| (925) 753-1986 | |
| Not Available |
| Full Name | Oconnor Physician Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1690 San Pablo Ave, Pinole, California |
| Authorized Official Name and Position | Michael Oconnor (OWNER) |
| Authorized Official Contact | 9257531986 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oconnor Physician Group Inc 1660 San Pablo Ave Suite A Pinole CA 94564-2077 Ph: (510) 724-7488 | Oconnor Physician Group Inc 1690 San Pablo Ave Suite F Pinole CA 94564-2078 Ph: (925) 753-1986 |
| NPI Number | 1598976714 |
|---|---|
| Provider Enumeration Date | 05/28/2007 |
| Last Update Date | 03/31/2015 |
| Medicare PECOS PAC ID | 4688790934 |
|---|---|
| Medicare Enrollment ID | O20100924000127 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598976714 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A44531 (California) | Secondary |
| 207R00000X | Internal Medicine | A446530 (California) | Primary |
| Provider Name | Michael D O Connor |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1386753317 PECOS PAC ID: 1759469075 Enrollment ID: I20080425000633 |
| Provider Name | Patricia A Oconnor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720006380 PECOS PAC ID: 2163548413 Enrollment ID: I20100924000281 |
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