California Coalition For Harm Reduction | |
3031 Telegraph Ave Berkeley CA 94705-2051 | |
(484) 432-2177 | |
Not Available |
Full Name | California Coalition For Harm Reduction |
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Speciality | Clinic/Center |
Location | 3031 Telegraph Ave, Berkeley, California |
Authorized Official Name and Position | Mikael Langner (MEDICAL DIRECTOR) |
Authorized Official Contact | 4844322177 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
California Coalition For Harm Reduction 1231 Ashby Ave Berkeley CA 94702-2401 Ph: (484) 432-2177 | California Coalition For Harm Reduction 3031 Telegraph Ave Berkeley CA 94705-2051 Ph: (484) 432-2177 |
NPI Number | 1235749995 |
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Provider Enumeration Date | 08/06/2020 |
Last Update Date | 08/11/2020 |
Medicare PECOS PAC ID | 8729497920 |
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Medicare Enrollment ID | O20210428002896 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235749995 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP0904X | Clinic/center - Public Health, Federal | (* (Not Available)) | Primary |
Provider Name | Mikael D Langner |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1477855724 PECOS PAC ID: 2264662790 Enrollment ID: I20190311002003 |
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