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Organization
EAST BAY AREA QUALITY HEALTH CORPORATION
Active
Organization
EAST BAY AREA QUALITY HEALTH CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY E. JONES M.D. (PRESIDENT)
(510) 268-1800
Entity
Organization
Contact information
Practice address
400 29TH AVE, SUITE 501, OAKLAND, CA 94601-2106
(510) 268-1800
(510) 268-1803
Mailing address
400 29TH AVE, SUITE 501, OAKLAND, CA 94601-2106
(510) 268-1800
(510) 268-1803
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A64757
CA
207RI0200X
Infectious Disease Physician
G73584
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CA209814
MEDICARE PTAN
CA
Enumeration date
05/18/2016
Last updated
09/22/2016
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