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28000 Calaroga Ave Hayward CA 94545-4600 | |
| (510) 300-1340 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 28000 Calaroga Ave, Hayward, California |
| Authorized Official Name and Position | Jennifer Cardenas (QI DIRECTOR) |
| Authorized Official Contact | 4154074558 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
6925 Chabot Rd Oakland CA 94618-1921 Ph: (510) 654-4004 | 28000 Calaroga Ave Hayward CA 94545-4600 Ph: (510) 300-1340 |
| NPI Number | 1497104533 |
|---|---|
| Provider Enumeration Date | 06/09/2016 |
| Last Update Date | 06/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497104533 | NPI | - | NPPES |
| 0015 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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