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Organization
OAKCARE MEDICAL GROUP INC
Active
Organization
OAKCARE MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY C SIMON MD (EXEC DIRECTOR)
(209) 342-2300
Entity
Organization
Contact information
Practice address
1411 E 31ST ST, OAKLAND, CA 94602-1018
(209) 342-2300
(209) 524-4240
Mailing address
4301 NORTHSTAR WAY, MODESTO, CA 95356-9262
(209) 342-2300
(209) 524-4240
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0070391
—
CA
Enumeration date
11/04/2005
Last updated
08/22/2020
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