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Organization
EDEN MEDICAL CENTER/SAN LEANDRO HOSPITAL CAMPUS
Active
Organization
EDEN MEDICAL CENTER/SAN LEANDRO HOSPITAL CAMPUS
Active
Other names
San Leandro Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RONNIE BAYDUZA (ADMINISTRATOR)
(510) 667-4511
Entity
Organization
Contact information
Practice address
14207 E 14TH ST, SAN LEANDRO, CA 94578-2709
(510) 357-6500
(510) 297-5476
Mailing address
P.O. BOX 60000, FILE 74500, SAN FRANCISCO, CA 94160-0001
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2082793
AETNA
CA
05
—
HSP40264I
—
CA
01
—
ZZZA0118Z
BLUE SHIELD
CA
Enumeration date
05/11/2006
Last updated
07/12/2007
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