| Mount Eden | |
|
2300 Panama St Hayward CA 94545-4662 | |
| (510) 317-1444 | |
| Not Available |
| Full Name | Mount Eden |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2300 Panama St, Hayward, California |
| Authorized Official Name and Position | Scott Osborn (CHIEF OPERATIONS OFFICER) |
| Authorized Official Contact | 5105200943 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mount Eden 8945 Golf Links Rd Oakland CA 94605-4124 Ph: (510) 317-4444 | Mount Eden 2300 Panama St Hayward CA 94545-4662 Ph: (510) 317-1444 |
| NPI Number | 1306136585 |
|---|---|
| Provider Enumeration Date | 04/09/2011 |
| Last Update Date | 04/29/2024 |
| Certification Date | 04/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306136585 | NPI | - | NPPES |
| 0015 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (California) | Primary |
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