| West Berkeley Family Practice | |
|
2031 6th St Berkeley CA 94710-2006 | |
| (510) 981-4200 | |
| Not Available |
| Full Name | West Berkeley Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 2031 6th St, Berkeley, California |
| Authorized Official Name and Position | Marty Lynch (CEO) |
| Authorized Official Contact | 5109814100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Berkeley Family Practice Po Box 11247 Berkeley CA 94712-2247 Ph: (510) 981-4100 | West Berkeley Family Practice 2031 6th St Berkeley CA 94710-2006 Ph: (510) 981-4200 |
| NPI Number | 1720084163 |
|---|---|
| Provider Enumeration Date | 06/21/2005 |
| Last Update Date | 04/04/2022 |
| Certification Date | 04/04/2022 |
| Medicare PECOS PAC ID | 2062304538 |
|---|---|
| Medicare Enrollment ID | O20100802000030 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720084163 | NPI | - | NPPES |
| FHC70635F | Medicaid | CA | |
| HAP70635F | Other | CA | FAMILY PACT |
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