| Drh Medical Group | |
|
400 30th St Ste 407 Oakland CA 94609-3321 | |
| (415) 735-6453 | |
| (415) 548-2181 |
| Full Name | Drh Medical Group |
|---|---|
| Speciality | General Practice |
| Location | 400 30th St Ste 407, Oakland, California |
| Authorized Official Name and Position | Michael C Hoaglin (SHAREHOLDER) |
| Authorized Official Contact | 4157356453 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Drh Medical Group 2940 Summit St Ste 2d Oakland CA 94609-3416 Ph: (415) 735-6453 | Drh Medical Group 400 30th St Ste 407 Oakland CA 94609-3321 Ph: (415) 735-6453 |
| NPI Number | 1790560225 |
|---|---|
| Provider Enumeration Date | 08/31/2023 |
| Last Update Date | 11/12/2023 |
| Medicare PECOS PAC ID | 1456794866 |
|---|---|
| Medicare Enrollment ID | O20240213000286 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790560225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Trissy Chun |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295924140 PECOS PAC ID: 2769521715 Enrollment ID: I20091203000646 |
| Provider Name | Avni Pandya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417078999 PECOS PAC ID: 9537248646 Enrollment ID: I20111101000086 |
| Provider Name | Faraz Masood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609071661 PECOS PAC ID: 8426242066 Enrollment ID: I20210507002074 |
| Provider Name | Cherisa Sandrow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568664944 PECOS PAC ID: 8123192739 Enrollment ID: I20231206002995 |
| Provider Name | Cornell V Calinescu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457339004 PECOS PAC ID: 6406768878 Enrollment ID: I20240402003847 |
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