| Berkeley High | |
|
1980 Allston Way Bldg C Classroom C116, C134. C132. C338 Berkeley CA 94704-1463 | |
| (510) 317-1444 | |
| Not Available |
| Full Name | Berkeley High |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1980 Allston Way Bldg C, Berkeley, California |
| Authorized Official Name and Position | Sandy Hobson (QUALITY ASSURANCE DIRECTOR) |
| Authorized Official Contact | 5107255727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Berkeley High 6925 Chabot Rd Oakland CA 94618-1921 Ph: (510) 654-4004 | Berkeley High 1980 Allston Way Bldg C Classroom C116, C134. C132. C338 Berkeley CA 94704-1463 Ph: (510) 317-1444 |
| NPI Number | 1942590120 |
|---|---|
| Provider Enumeration Date | 04/09/2011 |
| Last Update Date | 01/16/2020 |
| Certification Date | 01/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942590120 | NPI | - | NPPES |
| 0015 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (California) | Primary |
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