| Step Irvington | |
|
4181 Irvington Ave Fremont CA 94538-4830 | |
| (510) 654-4004 | |
| Not Available |
| Full Name | Step Irvington |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4181 Irvington Ave, Fremont, California |
| Authorized Official Name and Position | Katherine West (CHIEF OPERATIONS OFFICER) |
| Authorized Official Contact | 5105200935 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Step Irvington 2275 Arlington Dr San Leandro CA 94578-1132 Ph: (510) 654-4004 | Step Irvington 4181 Irvington Ave Fremont CA 94538-4830 Ph: (510) 654-4004 |
| NPI Number | 1740676972 |
|---|---|
| Provider Enumeration Date | 04/14/2015 |
| Last Update Date | 07/18/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740676972 | NPI | - | NPPES |
| 0015 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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