| East Bay Health Medical Group Spc | |
|
911 Moraga Rd Ste 101 Lafayette CA 94549-4591 | |
| (925) 444-7073 | |
| Not Available |
| Full Name | East Bay Health Medical Group Spc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 911 Moraga Rd Ste 101, Lafayette, California |
| Authorized Official Name and Position | Naomi Breckon (CEO) |
| Authorized Official Contact | 9257447600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Bay Health Medical Group Spc 911 Moraga Rd Ste 101 Lafayette CA 94549-4591 Ph: (925) 444-7073 | East Bay Health Medical Group Spc 911 Moraga Rd Ste 101 Lafayette CA 94549-4591 Ph: (925) 444-7073 |
| NPI Number | 1780466201 |
|---|---|
| Provider Enumeration Date | 10/18/2023 |
| Last Update Date | 10/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780466201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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