| Schuman-liles Clinic, Inc | |
|
10850 Macarthur Blvd Ste 300 Oakland CA 94605-5266 | |
| (510) 569-9334 | |
| (510) 569-9334 |
| Full Name | Schuman-liles Clinic, Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 10850 Macarthur Blvd Ste 300, Oakland, California |
| Authorized Official Name and Position | Lj Jennings (CEO) |
| Authorized Official Contact | 5105699334 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Schuman-liles Clinic, Inc 10850 Macarthur Blvd Ste 300 Oakland CA 94605-5266 Ph: (510) 569-9334 | Schuman-liles Clinic, Inc 10850 Macarthur Blvd Ste 300 Oakland CA 94605-5266 Ph: (510) 569-9334 |
| NPI Number | 1861568909 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 03/10/2016 |
| Medicare PECOS PAC ID | 1153234240 |
|---|---|
| Medicare Enrollment ID | O20031105000795 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861568909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | James R Liles |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538223946 PECOS PAC ID: 3577476662 Enrollment ID: I20080520000913 |
| Provider Name | Pradeep Kumar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023188935 PECOS PAC ID: 4587555768 Enrollment ID: I20090727000535 |
| Provider Name | Armeen W Weber |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1063645356 PECOS PAC ID: 2668514811 Enrollment ID: I20100126000630 |
| Provider Name | Cornell Wells |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851658850 PECOS PAC ID: 8820317043 Enrollment ID: I20150508001983 |
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