Organization
EAST BAY CARDIOLOGY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ESTELLA M OLSEN (MEDICAL BILLING SPECIALIST)
(510) 233-9323
Entity
Organization
Contact information
Practice address
2101 VALE RD, SUITE 201, SAN PABLO, CA 94806-3835
(510) 233-9300
(510) 233-9299
Mailing address
2101 VALE RD, SUITE 201, SAN PABLO, CA 94806-3835
(510) 233-9300
(510) 233-9299
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0058891
—
CA
Enumeration date
08/16/2006
Last updated
06/27/2011
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