Roots Community Health Center
Family Medicine in Oakland, CA. Organization (NPI-2).
NPI number1952942575
StatusActive
Last updated in NPPESOct 4, 2019
Details
- NPI
- 1952942575
- Entity type
- Organization (NPI-2)
- Legal business name
- Roots Community Health Center
- Organization subpart
- Yes
- Enumeration date
- Oct 4, 2019
- Last updated
- Oct 4, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
583 5th St Ste AOakland, CA 94607
Phone 510-839-0929 · Fax 510-788-6837
Mailing address
9925 International Blvd #5Oakland, CA 94603-2558
Phone 510-777-1177 · Fax 510-550-2644
Authorized official
Noha M Aboelata
Ceo
5107771177
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