| Carolyn B Klebanoff Md Julie A Omelveny Md A Professional Corp. | |
|
3000 Colby St Suite 200 Berkeley CA 94705-2058 | |
| (510) 848-7977 | |
| (510) 848-2831 |
| Full Name | Carolyn B Klebanoff Md Julie A Omelveny Md A Professional Corp. |
|---|---|
| Speciality | Internal Medicine |
| Location | 3000 Colby St, Berkeley, California |
| Authorized Official Name and Position | Carolyn Klebanoff (PRACTICE OWNER) |
| Authorized Official Contact | 5108487977 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolyn B Klebanoff Md Julie A Omelveny Md A Professional Corp. 3000 Colby St Suite 200 Berkeley CA 94705-2083 Ph: (510) 848-7977 | Carolyn B Klebanoff Md Julie A Omelveny Md A Professional Corp. 3000 Colby St Suite 200 Berkeley CA 94705-2058 Ph: (510) 848-7977 |
| NPI Number | 1306984836 |
|---|---|
| Provider Enumeration Date | 02/05/2007 |
| Last Update Date | 02/07/2013 |
| Medicare PECOS PAC ID | 1658469382 |
|---|---|
| Medicare Enrollment ID | O20071114000218 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306984836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G51271 (California) | Primary |
| Provider Name | Kathryn J Drinkard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487740437 PECOS PAC ID: 3072601707 Enrollment ID: I20071114000248 |
| Provider Name | Julie A Omelveny |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861579609 PECOS PAC ID: 2365530094 Enrollment ID: I20071114000281 |
| Provider Name | Carolyn B Klebanoff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093892846 PECOS PAC ID: 1456449180 Enrollment ID: I20071114000308 |
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