Individual
DEEPA VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1532 150TH AVE, SAN LEANDRO, CA 94578
(510) 351-6363
Mailing address
1532 150TH AVE, SAN LEANDRO, CA 94578
(510) 351-6363
(510) 278-3757
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A158908
CA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
A158908
CA
Other
Enumeration date
07/08/2014
Last updated
03/30/2022
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