| Ebac | |
|
15980 Marcella St San Leandro CA 94578-2122 | |
| (510) 268-3770 | |
| Not Available |
| Full Name | Ebac |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 15980 Marcella St, San Leandro, California |
| Authorized Official Name and Position | Jeannette Rodriguez (QUALITY IMPROVEMENT & DATA MANAGER) |
| Authorized Official Contact | 5108445369 |
| 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 15980 Marcella St San Leandro CA 94578-2122 Ph: (510) 268-3770 |
| NPI Number | 1558796953 |
|---|---|
| Provider Enumeration Date | 09/05/2013 |
| Last Update Date | 10/14/2021 |
| Certification Date | 10/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558796953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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