East Bay Family Practice Medical Group Inc

LBN: East Bay Family Practice Medical Group Inc
East Bay Family Practice Medical Group Inc is an health care organization with primary practice located at 3100 Telegraph Ave Ste 2109, Oakland CA 94609-3210. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. East Bay Family Practice Medical Group Inc can be contacted via phone (510) 645-9900, or through D'Andrea, Audrey via phone (510) 645-9900.

Contact Information

Primary practice address
3100 Telegraph Ave Ste 2109 Oakland CA 94609-3210
Phone: (510) 645-9900
Fax: (510) 645-9919
Website:
Map and Directions
Authorized official contact:
Name: D'Andrea, Audrey Doctor of Medicine (MD)
Phone: (510) 645-9900

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1154313237
LBN Legal business name East Bay Family Practice Medical Group Inc
DBA Doing business as
Authorized official D'Andrea, Audrey Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 16th, 2005
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154313237 NPPES
California MEDICAID GR0003490

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