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2021 Highland Blvd Hayward CA 94542-1100 | |
| (510) 293-8573 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2021 Highland Blvd, Hayward, California |
| Authorized Official Name and Position | Manuel Jimenez (DIRECTOR) |
| Authorized Official Contact | 5105678100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 129 San Leandro CA 94577-0929 Ph: () - | 2021 Highland Blvd Hayward CA 94542-1100 Ph: (510) 293-8573 |
| NPI Number | 1518376557 |
|---|---|
| Provider Enumeration Date | 08/04/2014 |
| Last Update Date | 08/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518376557 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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