The Harry & Jeanette Weinberg Dental Clinic | |
190 11th St Oakland CA 94607-4878 | |
(510) 250-8300 | |
Not Available |
Full Name | The Harry & Jeanette Weinberg Dental Clinic |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 190 11th St, Oakland, California |
Authorized Official Name and Position | Dong W Suh (CHIEF OF OPERATION OFFICER) |
Authorized Official Contact | 5107353110 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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The Harry & Jeanette Weinberg Dental Clinic 101 8th St Ste 100 Oakland CA 94607-4707 Ph: (510) 735-3110 | The Harry & Jeanette Weinberg Dental Clinic 190 11th St Oakland CA 94607-4878 Ph: (510) 250-8300 |
NPI Number | 1821501792 |
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Provider Enumeration Date | 11/14/2017 |
Last Update Date | 12/17/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821501792 | NPI | - | NPPES |
1447391719 | Medicaid | CA | |
1821501792 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 140000666 (California) | Primary |
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