Schuman-liles Clinic, Inc | |
39155 Liberty St G700 Fremont CA 94538-1513 | |
(510) 505-9141 | |
(510) 505-9145 |
Full Name | Schuman-liles Clinic, Inc |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 39155 Liberty St, Fremont, California |
Authorized Official Name and Position | Lj Jennings (CEO) |
Authorized Official Contact | 5105699334 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Schuman-liles Clinic, Inc 10850 Macarthur Blvd 300 Oakland CA 94605-5266 Ph: (510) 569-9334 | Schuman-liles Clinic, Inc 39155 Liberty St G700 Fremont CA 94538-1513 Ph: (510) 505-9141 |
NPI Number | 1164555660 |
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Provider Enumeration Date | 03/13/2007 |
Last Update Date | 03/10/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164555660 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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