| Ebac-hoover Elementary School | |
|
890 Brockhurst St Oakland CA 94608-4318 | |
| (510) 268-3770 | |
| Not Available |
| Full Name | Ebac-hoover Elementary School |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 890 Brockhurst St, Oakland, California |
| Authorized Official Name and Position | Jeannette Rodriguez (CQI ADMINISTRATIVE COORDINATOR) |
| Authorized Official Contact | 5108445368 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ebac-hoover Elementary School 2828 Ford St Oakland CA 94601-2114 Ph: (510) 268-3770 | Ebac-hoover Elementary School 890 Brockhurst St Oakland CA 94608-4318 Ph: (510) 268-3770 |
| NPI Number | 1588090120 |
|---|---|
| Provider Enumeration Date | 09/14/2013 |
| Last Update Date | 08/18/2021 |
| Certification Date | 08/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588090120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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