| East Bay Gastroenterology Medical Group, Inc. | |
|
350 30th St Suite 305 Oakland CA 94609-3424 | |
| (510) 832-2767 | |
| (510) 832-6713 |
| Full Name | East Bay Gastroenterology Medical Group, Inc. |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 350 30th St, Oakland, California |
| Authorized Official Name and Position | Harvey W Olsen (PRESIDENT) |
| Authorized Official Contact | 5108322767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Bay Gastroenterology Medical Group, Inc. 350 30th St Suite 305 Oakland CA 94609-3424 Ph: (510) 832-2767 | East Bay Gastroenterology Medical Group, Inc. 350 30th St Suite 305 Oakland CA 94609-3424 Ph: (510) 832-2767 |
| NPI Number | 1881734515 |
|---|---|
| Provider Enumeration Date | 02/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881734515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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