# BETTENEL MEDICAL GROUP, INC

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

## Provider details

- **NPI number:** 1487747804
- **Authorized official:** DR. ED BLUMENSTOCK M.D. (PRESIDENT)
- **Authorized official phone:** (510) 893-1700

## Contact information

- **Practice address:** 365 HAWTHORNE AVE STE 301, OAKLAND, CA 94609-3113
- **Practice address phone:** (510) 893-1700
- **Practice address fax:** (510) 893-0110
- **Mailing address:** 365 HAWTHORNE AVE STE 301, OAKLAND, CA 94609-3113
- **Mailing address phone:** (510) 893-1700
- **Mailing address fax:** (510) 893-0110

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | G022905 | CA | Yes |

## Other

- **Enumeration date:** 09/30/2006
- **Last updated:** 09/04/2007