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Organization
D LOUIS M D A MEDICAL CORPORATION
Active
Organization
D LOUIS M D A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID LOUIS M.D. (PRESIDENT)
(510) 836-0223
Entity
Organization
Contact information
Practice address
350 30TH STREET, SUITE 540, OAKLAND, CA 94609-3487
(510) 836-0223
(510) 836-8791
Mailing address
350 30TH STREET, SUITE 540, OAKLAND, CA 94609-3487
(510) 836-0223
(510) 836-8791
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G39231
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01005183
RAILROAD MEDICARE
CA
01
—
DE436A
PTAN (CORPORATION)
CA
Enumeration date
12/11/2006
Last updated
04/25/2016
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