| Mint Medical Center Pc | |
|
311 Oak St Ste C2 Oakland CA 94607-4635 | |
| (510) 655-3456 | |
| (844) 283-4894 |
| Full Name | Mint Medical Center Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 311 Oak St Ste C2, Oakland, California |
| Authorized Official Name and Position | Greg Vrankovich (OWNER) |
| Authorized Official Contact | 5103267168 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mint Medical Center Pc 311 Oak St Ste C2 Oakland CA 94607-4635 Ph: (510) 655-3456 | Mint Medical Center Pc 311 Oak St Ste C2 Oakland CA 94607-4635 Ph: (510) 655-3456 |
| NPI Number | 1649915158 |
|---|---|
| Provider Enumeration Date | 04/28/2022 |
| Last Update Date | 06/27/2023 |
| Medicare PECOS PAC ID | 5991172736 |
|---|---|
| Medicare Enrollment ID | O20221107003181 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649915158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Angela Cassagne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548881618 PECOS PAC ID: 5890100705 Enrollment ID: I20210225003107 |
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