Bettenel Medical Group, INC
Obstetrics & Gynecology in Oakland, CA. Organization (NPI-2).
NPI number1487747804
StatusActive
Last updated in NPPESSep 4, 2007
Details
- NPI
- 1487747804
- Entity type
- Organization (NPI-2)
- Legal business name
- Bettenel Medical Group, INC
- Organization subpart
- No
- Enumeration date
- Sep 30, 2006
- Last updated
- Sep 4, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | G022905 | CA | Yes |
Practice location
365 Hawthorne Ave Ste 301Oakland, CA 94609-3113
Phone 510-893-1700 · Fax 510-893-0110
Mailing address
365 Hawthorne Ave Ste 301Oakland, CA 94609-3113
Phone 510-893-1700 · Fax 510-893-0110
Authorized official
Ed Blumenstock
President
5108931700
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