| Brenkwitz | |
|
22100 Princeton St #a Hayward CA 94541-3817 | |
| (510) 317-1444 | |
| Not Available |
| Full Name | Brenkwitz |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 22100 Princeton St, Hayward, California |
| Authorized Official Name and Position | Scott Osborn (REGIONAL EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5105200943 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brenkwitz 2275 Arlington Dr San Leandro CA 94578-1132 Ph: (510) 654-4004 | Brenkwitz 22100 Princeton St #a Hayward CA 94541-3817 Ph: (510) 317-1444 |
| NPI Number | 1538451745 |
|---|---|
| Provider Enumeration Date | 05/05/2011 |
| Last Update Date | 11/28/2022 |
| Certification Date | 11/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538451745 | NPI | - | NPPES |
| 0015 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (California) | Primary |
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