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1250 23rd St Richmond CA 94804-1011 | |
| (510) 237-8770 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1250 23rd St, Richmond, California |
| Authorized Official Name and Position | Chen Yu (DIRECTOR OF FINANCE) |
| Authorized Official Contact | 5108352777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1141 Harbor Bay Parkway #105 Alameda CA 94502-4724 Ph: (510) 835-2777 | 1250 23rd St Richmond CA 94804-1011 Ph: (510) 237-8770 |
| NPI Number | 1740659374 |
|---|---|
| Provider Enumeration Date | 09/24/2015 |
| Last Update Date | 09/19/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740659374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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