Piedmont Advanced Care Inc | |
309 Macarthur Blvd Oakland CA 94610-3233 | |
(510) 836-3777 | |
Not Available |
Full Name | Piedmont Advanced Care Inc |
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Speciality | Internal Medicine |
Location | 309 Macarthur Blvd, Oakland, California |
Authorized Official Name and Position | James Ming Yeh (PRESIDENT) |
Authorized Official Contact | 5106035755 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Piedmont Advanced Care Inc 484 Lake Park Ave # 42 Oakland CA 94610-2730 Ph: (510) 603-5755 | Piedmont Advanced Care Inc 309 Macarthur Blvd Oakland CA 94610-3233 Ph: (510) 836-3777 |
NPI Number | 1871286427 |
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Provider Enumeration Date | 05/31/2023 |
Last Update Date | 05/31/2023 |
Medicare PECOS PAC ID | 4981066834 |
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Medicare Enrollment ID | O20231013002981 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871286427 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | James M Yeh |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1386613776 PECOS PAC ID: 7416993233 Enrollment ID: I20050701000546 |
Provider Name | Angelimarie Mangahas |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790265973 PECOS PAC ID: 5698015691 Enrollment ID: I20190328001000 |
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