Jonathan Noble, M.d., Inc. | |
2500 Milvia St Suite 218 Berkeley CA 94704-2636 | |
(510) 848-7070 | |
(510) 848-5500 |
Full Name | Jonathan Noble, M.d., Inc. |
---|---|
Speciality | Internal Medicine |
Location | 2500 Milvia St, Berkeley, California |
Authorized Official Name and Position | Jonthan Noble (PRESIDENT) |
Authorized Official Contact | 5108487070 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jonathan Noble, M.d., Inc. 2500 Milvia St Suite 218 Berkeley CA 94704-2636 Ph: (510) 848-7070 | Jonathan Noble, M.d., Inc. 2500 Milvia St Suite 218 Berkeley CA 94704-2636 Ph: (510) 848-7070 |
NPI Number | 1912003757 |
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Provider Enumeration Date | 09/16/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912003757 | NPI | - | NPPES |
9427077583 | Other | CA | TIN - BCBS ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | G17043 (California) | Primary |
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