| East Bay Primary Care Medical Group, Inc. | |
|
373 9th St Suite 403 Oakland CA 94607-6514 | |
| (510) 465-3588 | |
| (510) 465-4369 |
| Full Name | East Bay Primary Care Medical Group, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 373 9th St, Oakland, California |
| Authorized Official Name and Position | Yvonne Yeung (OFFICER) |
| Authorized Official Contact | 5104653588 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Bay Primary Care Medical Group, Inc. 373 9th St Suite 403 Oakland CA 94607-6514 Ph: (510) 465-3588 | East Bay Primary Care Medical Group, Inc. 373 9th St Suite 403 Oakland CA 94607-6514 Ph: (510) 465-3588 |
| NPI Number | 1902827892 |
|---|---|
| Provider Enumeration Date | 07/23/2006 |
| Last Update Date | 05/28/2008 |
| Medicare PECOS PAC ID | 1658369756 |
|---|---|
| Medicare Enrollment ID | O20040505001789 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902827892 | NPI | - | NPPES |
| GR0086140 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (California) | Secondary |
| 207R00000X | Internal Medicine | (California) | Primary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | (California) | Secondary |
| Provider Name | Shiu-lan Lui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912942772 PECOS PAC ID: 2961592613 Enrollment ID: I20071218000270 |
| Provider Name | Yvonne Yeung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144244096 PECOS PAC ID: 7719077460 Enrollment ID: I20080929000557 |
| Provider Name | Gina Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619991510 PECOS PAC ID: 2264522911 Enrollment ID: I20081003000196 |
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