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411 Larchmont St Hayward CA 94544-1103 | |
| (510) 293-8515 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 411 Larchmont St, Hayward, California |
| Authorized Official Name and Position | Kent Dunlap (PRESIDENT AND CHIEF EXECUTIVE OFFIC) |
| Authorized Official Contact | 3102216336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
400 Estudillo Ave Ste 100 San Leandro CA 94577-4962 Ph: (510) 352-9200 | 411 Larchmont St Hayward CA 94544-1103 Ph: (510) 293-8515 |
| NPI Number | 1144611955 |
|---|---|
| Provider Enumeration Date | 02/16/2015 |
| Last Update Date | 01/09/2025 |
| Certification Date | 01/09/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144611955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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