Organization
EAST BAY PHYSICIAN'S MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA A. REYMUNDO (PHYSICAL SERVICES SUPERVISOR)
(510) 204-6660
Entity
Organization
Contact information
Practice address
5700 TELEGRAPH AVE, OAKLAND, CA 94609-1710
(510) 204-3986
(510) 204-3948
Mailing address
5700 TELEGRAPH AVE, OAKLAND, CA 94609-1710
(510) 204-3986
(510) 204-3948
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP95004006
CA
Other
Enumeration date
07/21/2016
Last updated
07/21/2016
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