Family Service Of San Leandro | |
2208 San Leandro Blvd San Leandro CA 94577-5957 | |
(510) 483-6715 | |
(510) 483-6719 |
Full Name | Family Service Of San Leandro |
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Speciality | Community/behavioral Health |
Location | 2208 San Leandro Blvd, San Leandro, California |
Authorized Official Name and Position | Phyllis Pasternak (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 5104836715 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Family Service Of San Leandro 2208 San Leandro Blvd San Leandro CA 94577-5957 Ph: (510) 483-6715 | Family Service Of San Leandro 2208 San Leandro Blvd San Leandro CA 94577-5957 Ph: (510) 483-6715 |
NPI Number | 1114118403 |
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Provider Enumeration Date | 08/05/2007 |
Last Update Date | 08/05/2007 |
Identifier | Type | State | Issuer |
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1114118403 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 46007 (California) | Primary |
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