| |
3075 Adeline St Ste 280 Berkeley CA 94703-2580 | |
(510) 225-6300 | |
Not Available |
Full Name | |
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Speciality | Case Manager/Care Coordinator |
Location | 3075 Adeline St Ste 280, Berkeley, California |
Authorized Official Name and Position | Marty Lynch (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 5109814123 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 11247 Berkeley CA 94712-2247 Ph: (510) 981-4122 | 3075 Adeline St Ste 280 Berkeley CA 94703-2580 Ph: (510) 225-6300 |
NPI Number | 1457758724 |
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Provider Enumeration Date | 12/02/2014 |
Last Update Date | 03/31/2022 |
Medicare PECOS PAC ID | 2062304538 |
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Medicare Enrollment ID | O20150112001738 |
Identifier | Type | State | Issuer |
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1457758724 | NPI | - | NPPES |
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