Organization
EDEN MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN TRENT HUNTER (VP SHARED SERVICES)
(916) 297-8555
Entity
Organization
Contact information
Practice address
20103 LAKE CHABOT RD, CASTRO VALLEY, CA 94546-5305
(510) 537-1234
(510) 889-6506
Mailing address
PO BOX 748373, LOS ANGELES, CA 90074-8373
(855) 398-1633
(510) 869-6592
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
140000030
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HSC00488G
—
CA
05
—
HSP40488G
—
CA
05
—
ZZR00488G
—
CA
Enumeration date
05/23/2005
Last updated
12/02/2013
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