Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 2021 Main St, Oakley, California |
Authorized Official Name and Position | Jane Garcia (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 5105354000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Po Box 22210 Oakland CA 94623-2210 Ph: (510) 535-4000 | 2021 Main St Oakley CA 94561-3302 Ph: (925) 776-8200 |
NPI Number | 1578834164 |
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Provider Enumeration Date | 01/13/2012 |
Last Update Date | 10/17/2019 |
Medicare PECOS PAC ID | 1557258282 |
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Medicare Enrollment ID | O20120430000505 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578834164 | NPI | - | NPPES |
1578834164 | Medicaid | CA |