Provider Demographics
NPI:1386662641
Name:VARON, MICHAEL S (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:S
Last Name:VARON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:DEPT 34929
Mailing Address - Street 2:P.O. BOX 39000
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94139-0001
Mailing Address - Country:US
Mailing Address - Phone:925-952-2828
Mailing Address - Fax:925-952-2850
Practice Address - Street 1:5161 CLAYTON RD
Practice Address - Street 2:SUITE F
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94521-3191
Practice Address - Country:US
Practice Address - Phone:925-609-8282
Practice Address - Fax:925-609-8826
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2012-06-21
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Provider Licenses
StateLicense IDTaxonomies
CAG75817207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G758170Medicaid
CA00G758170Medicaid
CA080101339Medicare PIN
CA00G758171Medicare PIN