| Temescal Creek Medicine | |
|
405 49th St Oakland CA 94609-2101 | |
| (510) 388-8711 | |
| Not Available |
| Full Name | Temescal Creek Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 405 49th St, Oakland, California |
| Authorized Official Name and Position | Michael Zimmerman (SECRETARY) |
| Authorized Official Contact | 5103888711 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Temescal Creek Medicine 405 49th St Oakland CA 94609-2101 Ph: () - | Temescal Creek Medicine 405 49th St Oakland CA 94609-2101 Ph: (510) 388-8711 |
| NPI Number | 1598996837 |
|---|---|
| Provider Enumeration Date | 08/04/2009 |
| Last Update Date | 08/04/2009 |
| Medicare PECOS PAC ID | 6103962881 |
|---|---|
| Medicare Enrollment ID | O20091009000508 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598996837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Andrea Jeanne Franchett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417991183 PECOS PAC ID: 3870555824 Enrollment ID: I20041101001231 |
| Provider Name | Michael Zimmerman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366513822 PECOS PAC ID: 9739225418 Enrollment ID: I20091009000546 |
| Provider Name | Lauren Pallis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376925727 PECOS PAC ID: 5799060802 Enrollment ID: I20201013002609 |
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