| Alameda Family Physician Medical Group Inc. | |
|
2433 Central Ave 2433 Central Avenue Alameda CA 94501-6562 | |
| (510) 521-2300 | |
| Not Available |
| Full Name | Alameda Family Physician Medical Group Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 2433 Central Ave, Alameda, California |
| Authorized Official Name and Position | Peter Lawrence Candell (CO- OWNER) |
| Authorized Official Contact | 5105212300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alameda Family Physician Medical Group Inc. 2433 Central Ave 2433 Central Avenue Alameda CA 94501-6562 Ph: (510) 521-2300 | Alameda Family Physician Medical Group Inc. 2433 Central Ave 2433 Central Avenue Alameda CA 94501-6562 Ph: (510) 521-2300 |
| NPI Number | 1578604211 |
|---|---|
| Provider Enumeration Date | 02/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578604211 | NPI | - | NPPES |
| GR0045200 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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