| Lake Merritt Family Practice | |
|
450 Park St Ste 100b Alameda CA 94501-6257 | |
| (510) 992-3104 | |
| (510) 227-6890 |
| Full Name | Lake Merritt Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 450 Park St Ste 100b, Alameda, California |
| Authorized Official Name and Position | April Fredian (MD/OWNER) |
| Authorized Official Contact | 5109923104 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Merritt Family Practice 450 Park St Ste 100b Alameda CA 94501-6257 Ph: (510) 992-3104 | Lake Merritt Family Practice 450 Park St Ste 100b Alameda CA 94501-6257 Ph: (510) 992-3104 |
| NPI Number | 1336643303 |
|---|---|
| Provider Enumeration Date | 03/22/2018 |
| Last Update Date | 03/22/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336643303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A108550 (California) | Primary |
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