# ERDIRECT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285917120
- **Authorized official:** MR. SEAN EDWARD PARKIN PA-C (PRESIDENT)
- **Authorized official phone:** (415) 671-9615

## Contact information

- **Practice address:** 6114 LA SALLE AVE, SUITE 741, OAKLAND, CA 94611-2802
- **Practice address phone:** (800) 756-4206
- **Mailing address:** 6114 LA SALLE AVE, SUITE 741, OAKLAND, CA 94611-2802

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | A104178 | CA | Yes |

## Other

- **Enumeration date:** 09/27/2011
- **Last updated:** 09/27/2011