| |
33629 15th St Union City CA 94587-3322 | |
(510) 471-2772 | |
Not Available |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 33629 15th St, Union City, California |
Authorized Official Name and Position | Sandy Hobson (QUALITY ASSURANCE DIRECTOR) |
Authorized Official Contact | 5107255727 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2275 Arlington Dr San Leandro CA 94578-1132 Ph: (510) 317-1444 | 33629 15th St Union City CA 94587-3322 Ph: (510) 471-2772 |
NPI Number | 1568705341 |
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Provider Enumeration Date | 04/01/2013 |
Last Update Date | 01/16/2020 |
Certification Date | 01/16/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568705341 | NPI | - | NPPES |
0015 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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