| Fremont High School Epsdt | |
|
4610 Foothill Blvd Oakland CA 94601-4618 | |
| (510) 535-6200 | |
| Not Available |
| Full Name | Fremont High School Epsdt |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 4610 Foothill Blvd, Oakland, California |
| Authorized Official Name and Position | Jane Garcia (CEO) |
| Authorized Official Contact | 5105354000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fremont High School Epsdt Po Box 22210 Oakland CA 94623-2210 Ph: (510) 535-2907 | Fremont High School Epsdt 4610 Foothill Blvd Oakland CA 94601-4618 Ph: (510) 535-6200 |
| NPI Number | 1477961613 |
|---|---|
| Provider Enumeration Date | 07/31/2014 |
| Last Update Date | 05/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477961613 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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