| |
1999 Harrison St Fl 18 Oakland CA 94612-3520 | |
(510) 496-4570 | |
(866) 279-4704 |
Full Name | |
---|---|
Speciality | Physiological Laboratory |
Location | 1999 Harrison St Fl 18, Oakland, California |
Authorized Official Name and Position | Charles Alvarez (CEO) |
Authorized Official Contact | 4699958416 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
4545 Fuller Dr Suite 100 Irving TX 75038-6530 Ph: () - | 1999 Harrison St Fl 18 Oakland CA 94612-3520 Ph: (510) 496-4570 |
NPI Number | 1932558608 |
---|---|
Provider Enumeration Date | 06/03/2016 |
Last Update Date | 01/07/2025 |
Medicare PECOS PAC ID | 0042588006 |
---|---|
Medicare Enrollment ID | O20170615000251 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932558608 | NPI | - | NPPES |
Roosevelt School-based Behavioral Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1926 E 19th St, Oakland, CA 94606 Phone: 510-535-4000 | |
Oakland Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 424 28th St, Oakland, CA 94609 Phone: 510-452-4824 Fax: 510-465-4503 | |
Treble Health, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 490 43rd St Unit 106, Oakland, CA 94609 Phone: 800-865-3142 | |
Randall Healthcare Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 350 30th St, #100, Oakland, CA 94609 Phone: 510-342-2239 Fax: 510-380-7143 |