| D Louis M D A Medical Corporation | |
|
350 30th Street Suite 540 Oakland CA 94609-3487 | |
| (510) 836-0223 | |
| (510) 836-8791 |
| Full Name | D Louis M D A Medical Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 350 30th Street, Oakland, California |
| Authorized Official Name and Position | David Louis (PRESIDENT) |
| Authorized Official Contact | 5108360223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| D Louis M D A Medical Corporation 350 30th Street Suite 540 Oakland CA 94609-3487 Ph: (510) 836-0223 | D Louis M D A Medical Corporation 350 30th Street Suite 540 Oakland CA 94609-3487 Ph: (510) 836-0223 |
| NPI Number | 1295895068 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 04/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295895068 | NPI | - | NPPES |
| DE436A | Other | CA | PTAN (CORPORATION) |
| 01005183 | Other | CA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G39231 (California) | Primary |
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