Eden Medical Center | |
20103 Lake Chabot Rd Castro Valley CA 94546-5305 | |
(510) 537-1234 | |
(510) 582-1730 |
Full Name | Eden Medical Center |
---|---|
Speciality | Psychiatric Unit |
Location | 20103 Lake Chabot Rd, Castro Valley, California |
Authorized Official Name and Position | Brian Trent Hunter (VP SHARED SERVICES) |
Authorized Official Contact | 9162978555 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Eden Medical Center Po Box 748373 Los Angeles CA 90074-8373 Ph: (855) 398-1633 | Eden Medical Center 20103 Lake Chabot Rd Castro Valley CA 94546-5305 Ph: (510) 537-1234 |
NPI Number | 1538106265 |
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Provider Enumeration Date | 06/01/2006 |
Last Update Date | 12/03/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538106265 | NPI | - | NPPES |
HSM00488G | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
273R00000X | Psychiatric Unit | 140000030 (California) | Primary |
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