| Ebac | |
|
2200 Bancroft Ave San Leandro CA 94577-6108 | |
| (510) 918-8424 | |
| Not Available |
| Full Name | Ebac |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2200 Bancroft Ave, San Leandro, California |
| Authorized Official Name and Position | Marilyn Bendeck Davis (CQI ADMINISTRATIVE ASSISTANT) |
| Authorized Official Contact | 5105065332 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ebac 2828 Ford St Oakland CA 94601-2114 Ph: (510) 844-5368 | Ebac 2200 Bancroft Ave San Leandro CA 94577-6108 Ph: (510) 918-8424 |
| NPI Number | 1144655572 |
|---|---|
| Provider Enumeration Date | 09/04/2013 |
| Last Update Date | 07/30/2026 |
| Certification Date | 07/30/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144655572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (NU) | Primary |
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