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Organization
HIGHLAND HOSPITAL
Active
Organization
HIGHLAND HOSPITAL
Active
Other names
Alameda Health System
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAN PARK MD, DDS (OMFS PROGRAM DIRECTOR)
(510) 437-4800
Entity
Organization
Contact information
Practice address
1411 E 31ST ST, OAKLAND, CA 94602-1018
(510) 437-4800
Mailing address
1937 CEDAR ST, BERKELEY, CA 94709-2029
(408) 425-2738
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
100573
CA
282N00000X
General Acute Care Hospital
Primary
100573
CA
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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