| California Pacific Medical Group, Inc. | |
|
1221 Broadway Ste 700 Oakland CA 94612-1898 | |
| (415) 972-6000 | |
| Not Available |
| Full Name | California Pacific Medical Group, Inc. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1221 Broadway Ste 700, Oakland, California |
| Authorized Official Name and Position | Joel Klompus (PRESIDENT) |
| Authorized Official Contact | 4159726000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| California Pacific Medical Group, Inc. 1221 Broadway Ste 700 Oakland CA 94612-1898 Ph: () - | California Pacific Medical Group, Inc. 1221 Broadway Ste 700 Oakland CA 94612-1898 Ph: (415) 972-6000 |
| NPI Number | 1275002453 |
|---|---|
| Provider Enumeration Date | 11/17/2018 |
| Last Update Date | 11/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275002453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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