| Ebac | |
|
9860 Sunnyside St Oakland CA 94603-2750 | |
| (510) 918-8424 | |
| Not Available |
| Full Name | Ebac |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9860 Sunnyside St, Oakland, California |
| Authorized Official Name and Position | Jeannette Rodriguez (QUALITY IMPROVEMENT & DATA MANAGER) |
| Authorized Official Contact | 5102683770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ebac 2828 Ford St Oakland CA 94601-2114 Ph: (510) 268-3770 | Ebac 9860 Sunnyside St Oakland CA 94603-2750 Ph: (510) 918-8424 |
| NPI Number | 1902231368 |
|---|---|
| Provider Enumeration Date | 09/04/2013 |
| Last Update Date | 04/17/2024 |
| Certification Date | 04/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902231368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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