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Organization

EAST BAY GYNECOLOGIC ONCOLOGY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DIMITRY LERNER MD (OWNER)
(310) 926-2451
Entity
Organization

Contact information

Practice address
105 MONTE VISTA RD, ORINDA, CA 94563-1619
(310) 926-2451
Mailing address
105 MONTE VISTA RD, ORINDA, CA 94563-1619
(310) 926-2451

Taxonomy

Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
A92223
CA

Other

Enumeration date
11/02/2015
Last updated
11/02/2015
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