| Westcoast Children's Clinic | |
|
6694 Paloverde Road Castro Valley CA 94552-9651 | |
| (510) 269-9030 | |
| (510) 269-9031 |
| Full Name | Westcoast Children's Clinic |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6694 Paloverde Road, Castro Valley, California |
| Authorized Official Name and Position | Amelia Newton Grosu (ASSOCIATE DIRECTOR OF QA AND COMPLI) |
| Authorized Official Contact | 5102699148 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Westcoast Children's Clinic Po Box 7026 Oakland CA 94601-0026 Ph: (510) 269-9030 | Westcoast Children's Clinic 6694 Paloverde Road Castro Valley CA 94552-9651 Ph: (510) 269-9030 |
| NPI Number | 1366645293 |
|---|---|
| Provider Enumeration Date | 06/07/2007 |
| Last Update Date | 07/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366645293 | NPI | - | NPPES |
| 01DW | Other | CA | MEDI-CAL PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 020000193 (California) | Primary |
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