Organization · NPI-2

East Bay Cardiac Surgery Center Medical Group

Thoracic Surgery (Cardiothoracic Vascular Surgery) · Oakland, CA

NPI number1609986777
StatusActive
Last updated in NPPESMar 10, 2015

Details

NPI
1609986777
Entity type
Organization (NPI-2)
Legal business name
East Bay Cardiac Surgery Center Medical Group
Organization subpart
No
Enumeration date
Aug 30, 2006
Last updated
Mar 10, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)––Yes

Other names

  • Iverson & Stanten Cardiac & Thoracic Surgery Medical Group (Former Legal Business Name)

Practice location

3300 Webster St
Suite 500
Oakland, CA 94609-3117

Phone 510-465-6600 · Fax 510-839-0806

Mailing address

3300 Webster St
Suite 500
Oakland, CA 94609-3117

Phone 510-465-6600 · Fax 510-839-0806

Authorized official

Junaid Hameed Khan
Managing Partner
5104656600

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