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Organization
EMERYVILLE MULTISPECIALTY MEDICAL GROUP PROFESSIONAL CORPORATION
Active
Organization
EMERYVILLE MULTISPECIALTY MEDICAL GROUP PROFESSIONAL CORPORATION
Active
Other names
Alameda Centre Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES S KONG M.D. (PRESIDENT)
(510) 769-1118
Entity
Organization
Contact information
Practice address
501 S SHORE CTR W, SUITE 103C, ALAMEDA, CA 94501-5762
(510) 769-1118
(510) 769-1119
Mailing address
PO BOX 1560, ALAMEDA, CA 94501-0173
(510) 769-1118
(510) 769-1119
Taxonomy
Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
A76128
CA
207K00000X
Allergy & Immunology Physician
A84509
CA
207Q00000X
Family Medicine Physician
A76128
CA
207R00000X
Internal Medicine Physician
Primary
A84509
CA
Other
Enumeration date
06/20/2007
Last updated
12/07/2012
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