| |
10500 Macarthur Blvd. Suite #102 Oakland CA 94605-5248 | |
(510) 569-7326 | |
(510) 569-7329 |
Full Name | |
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Speciality | Internal Medicine |
Location | 10500 Macarthur Blvd., Oakland, California |
Authorized Official Name and Position | Uchenna A Okoronkwo (MEDICAL DIRECTOR/CEO) |
Authorized Official Contact | 5105697326 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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10500 Macarthur Blvd Suite #102 Oakland CA 94605-5248 Ph: (510) 569-7326 | 10500 Macarthur Blvd. Suite #102 Oakland CA 94605-5248 Ph: (510) 569-7326 |
NPI Number | 1497960819 |
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Provider Enumeration Date | 05/11/2007 |
Last Update Date | 12/04/2009 |
Identifier | Type | State | Issuer |
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1497960819 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
207R00000X | Internal Medicine | G55275 (California) | Primary |
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