| Associated Internal Medicine Med Grp Inc | |
|
100 Bay Pl Oakland CA 94610-4448 | |
| (510) 891-8519 | |
| (510) 891-8518 |
| Full Name | Associated Internal Medicine Med Grp Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 100 Bay Pl, Oakland, California |
| Authorized Official Name and Position | Dean J. Nickles (PRESIDENT) |
| Authorized Official Contact | 5104656700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Associated Internal Medicine Med Grp Inc 350 30th St Suite 320 Oakland CA 94609-3424 Ph: (510) 465-6700 | Associated Internal Medicine Med Grp Inc 100 Bay Pl Oakland CA 94610-4448 Ph: (510) 891-8519 |
| NPI Number | 1043494651 |
|---|---|
| Provider Enumeration Date | 12/19/2007 |
| Last Update Date | 01/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043494651 | NPI | - | NPPES |
| ZZZ18981Z | Other | CA | MEDICARE GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G84227 (California) | Primary |
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