| Sausal Creek Outpatient Clinic | |
|
2620 26th Ave Oakland CA 94601-1907 | |
| (510) 437-2363 | |
| (510) 437-2364 |
| Full Name | Sausal Creek Outpatient Clinic |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 2620 26th Ave, Oakland, California |
| Authorized Official Name and Position | Lorena Lopez (PROVIDER RELATIONS SUPERVISOR) |
| Authorized Official Contact | 5103377950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sausal Creek Outpatient Clinic 1080 Marina Village Pkwy Ste 100 Alameda CA 94501-1078 Ph: (510) 337-7950 | Sausal Creek Outpatient Clinic 2620 26th Ave Oakland CA 94601-1907 Ph: (510) 437-2363 |
| NPI Number | 1629154786 |
|---|---|
| Provider Enumeration Date | 10/31/2006 |
| Last Update Date | 10/15/2024 |
| Certification Date | 10/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629154786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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