Dermatology Center Of The East Bay, INC.
Dermatology in Oakland, CA. Organization (NPI-2).
NPI number1013791342
StatusActive
Last updated in NPPESMar 28, 2024
Details
- NPI
- 1013791342
- Entity type
- Organization (NPI-2)
- Legal business name
- Dermatology Center Of The East Bay, INC.
- Organization subpart
- No
- Enumeration date
- Aug 18, 2023
- Certification date
- Mar 28, 2024
- Last updated
- Mar 28, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | – | – | Yes |
Practice location
3300 Webster St Ste 509Oakland, CA 94609-3149
Phone 510-452-0330 · Fax 510-275-0851
Mailing address
3300 Webster St Ste 509Oakland, CA 94609-3149
Phone 510-452-0330 · Fax 510-275-0851
Other practice locations
3511 School St
Lafayette, CA 94549-4547
Lafayette, CA 94549-4547
Phone 510-452-0330 · Fax 510-275-0851
Authorized official
Julia Graves
Authorized Official
5104520330
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