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Organization
ALAMEDA PACIFIC MEDICAL GROUP
Active
Organization
ALAMEDA PACIFIC MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA FELICIANO (ADMIN)
(910) 632-0974
Entity
Organization
Contact information
Practice address
1460 MARIA LN STE 300, WALNUT CREEK, CA 94596-5314
(341) 217-8411
Mailing address
C/O JACOB HORN, PO BOX 722, BERKELEY, CA 94701
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
NULL
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
NULL
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
—
2083X0100X
Occupational Medicine Physician
—
NULL
2083X0100X
Occupational Medicine Physician
—
—
208VP0000X
Pain Medicine Physician
Primary
—
NULL
208VP0000X
Pain Medicine Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
NULL
208VP0014X
Interventional Pain Medicine Physician
—
—
261QP3300X
Pain Clinic/Center
—
NULL
Other
Enumeration date
05/07/2024
Last updated
12/06/2024
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