Organization
EASTER SEALS NORTHERN CALIFORNIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY MARGARET O'BRIEN (DIRECTOR, ACCOUNTING & HUMAN RESOUR)
(415) 382-7450
Entity
Organization
Contact information
Practice address
20 PIMENTEL CT STE A1, NOVATO, CA 94949-5656
(415) 382-7450
(415) 385-7457
Mailing address
20 PIMENTEL CT STE A1, NOVATO, CA 94949-5656
(415) 382-7450
(415) 385-7457
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
—
—
251K00000X
Public Health or Welfare Agency
—
—
Other
Enumeration date
05/18/2010
Last updated
05/18/2010
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