| Pacific Psychiatric Associates | |
|
212 9th St Ste 401 Oakland CA 94607-4428 | |
| (510) 285-6359 | |
| (510) 879-7406 |
| Full Name | Pacific Psychiatric Associates |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 212 9th St Ste 401, Oakland, California |
| Authorized Official Name and Position | Samantha Landie Liu (PRESIDENT) |
| Authorized Official Contact | 4156869128 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Psychiatric Associates 1410 Lakeshore Ave Apt 6 Oakland CA 94606-1660 Ph: (415) 686-9128 | Pacific Psychiatric Associates 212 9th St Ste 401 Oakland CA 94607-4428 Ph: (510) 285-6359 |
| NPI Number | 1891344347 |
|---|---|
| Provider Enumeration Date | 09/07/2019 |
| Last Update Date | 09/07/2019 |
| Medicare PECOS PAC ID | 4789034547 |
|---|---|
| Medicare Enrollment ID | O20231220002301 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891344347 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Samantha Liu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962947184 PECOS PAC ID: 4284902602 Enrollment ID: I20170607002264 |
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