Organization
ALLIANCE MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD M. SANKARY MD (PRESIDENT)
(510) 724-9110
Entity
Organization
Contact information
Practice address
1332 PARK ST, SUITE 202, ALAMEDA, CA 94501-4545
(510) 523-3417
(916) 239-3614
Mailing address
1332 PARK ST, SUITE 202, ALAMEDA, CA 94501-4545
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0081637
—
CA
Enumeration date
06/27/2006
Last updated
06/19/2008
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