| Children's Hospital & Research Center At Oakland | |
|
312 Clay St Ste 150 Oakland CA 94607-3510 | |
| (510) 428-3408 | |
| Not Available |
| Full Name | Children's Hospital & Research Center At Oakland |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 312 Clay St Ste 150, Oakland, California |
| Authorized Official Name and Position | Ted Wang (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 5104283027 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Hospital & Research Center At Oakland 747 52nd Street Oakland CA 94609-1809 Ph: (510) 428-3407 | Children's Hospital & Research Center At Oakland 312 Clay St Ste 150 Oakland CA 94607-3510 Ph: (510) 428-3408 |
| NPI Number | 1295934990 |
|---|---|
| Provider Enumeration Date | 07/12/2007 |
| Last Update Date | 05/12/2021 |
| Certification Date | 05/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295934990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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