| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 600 G St, Union City, California |
| Authorized Official Name and Position | Sandy Hobson (QUALITY ASSURANCE DIRECTOR) |
| Authorized Official Contact | 5107255727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
8945 Golf Links Rd Oakland CA 94605-4124 Ph: (510) 317-1444 | 600 G St Union City CA 94587-2400 Ph: (510) 226-6180 |
| NPI Number | 1457566085 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 10/28/2020 |
| Certification Date | 10/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457566085 | NPI | - | NPPES |
| 0015 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (California) | Primary |
Masonic Homes Of California Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 34400 Mission Blvd, Union City, CA 94587 Phone: 510-471-3434 Fax: 510-476-6329 | |
Calli Therapies, Licensed Clinical Social Worker, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 33522 8th St, Union City, CA 94587 Phone: 510-210-0394 |