Unknown Individual – Psychiatry Physician, NPI 1245237361
Psychiatry Physician
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Provider Addresses for Unknown Individual
Summit Professional Building, 400, 29th Street, Northgate / Koreatown, Oakland, Alameda County, California, 94612, United States
STE 512
OAKLAND, CA 946093550
Phone: (510) 451-6959
Fax: (510) 782-8172
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 94609)
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