Organization · NPI-2

Alameda Health System

Clinic/Center · Oakland, CA

NPI number1083166144
StatusActive
Last updated in NPPESOct 25, 2016

Details

NPI
1083166144
Entity type
Organization (NPI-2)
Legal business name
Alameda Health System
Organization subpart
No
Enumeration date
Oct 25, 2016
Last updated
Oct 25, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Other names

  • Eastmont Wellness Center (Other Name)

Practice location

6955 Foothill Blvd
Oakland, CA 94605-2455

Phone 510-567-5704 · Fax 510-568-0225

Mailing address

15400 Foothill Blvd
San Leandro, CA 94578-1009

Phone 510-895-7344

Authorized official

Bernadette Jensen
Vp Of Revenue Cycle
5106182147

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