| Michael Minzenberg, Md, A Medical Corporation | |
|
895 Moraga Rd Ste 15 Lafayette CA 94549-5045 | |
| (510) 225-5739 | |
| (833) 615-1119 |
| Full Name | Michael Minzenberg, Md, A Medical Corporation |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 895 Moraga Rd Ste 15, Lafayette, California |
| Authorized Official Name and Position | Michael Minzenberg (DIRECTOR) |
| Authorized Official Contact | 5102255739 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Minzenberg, Md, A Medical Corporation 895 Moraga Rd Ste 15 Lafayette CA 94549-5045 Ph: (510) 225-5739 | Michael Minzenberg, Md, A Medical Corporation 895 Moraga Rd Ste 15 Lafayette CA 94549-5045 Ph: (510) 225-5739 |
| NPI Number | 1114698354 |
|---|---|
| Provider Enumeration Date | 09/27/2021 |
| Last Update Date | 09/27/2021 |
| Certification Date | 09/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114698354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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