| California Coalition for Harm Reduction | |
|
3031 Telegraph Ave Berkeley CA 94705-2051 | |
| (484) 432-2177 | |
| Not Available |
| Full Name | California Coalition for Harm Reduction |
|---|---|
| Speciality | Clinic/Center |
| Location | 3031 Telegraph Ave, Berkeley, California |
| Authorized Official Name and Position | Mikael Langner (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4844322177 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| California Coalition for Harm Reduction 1231 Ashby Ave Berkeley CA 94702-2401 Ph: (484) 432-2177 | California Coalition for Harm Reduction 3031 Telegraph Ave Berkeley CA 94705-2051 Ph: (484) 432-2177 |
| NPI Number | 1235749995 |
|---|---|
| Provider Enumeration Date | 08/06/2020 |
| Last Update Date | 08/11/2020 |
| Certification Date | 08/11/2020 |
| Medicare PECOS PAC ID | 8729497920 |
|---|---|
| Medicare Enrollment ID | O20210428002896 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235749995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0904X | Clinic/center - Public Health, Federal | () | Primary |
| Provider Name | Mikael D Langner |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1477855724 PECOS PAC ID: 2264662790 Enrollment ID: I20190311002003 |
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