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Organization

BERKELEY CARDIOVASCULAR MEDICAL GROUP

Active
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Organization

BERKELEY CARDIOVASCULAR MEDICAL GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN S EDELEN M.D. (PRESIDENT)
(510) 549-4220
Entity
Organization

Contact information

Practice address
3300 WEBSTER ST STE 702, OAKLAND, CA 94609-3122
(510) 549-4220
(510) 433-0744
Mailing address
3300 WEBSTER ST STE 702, OAKLAND, CA 94609-3122
(510) 549-4220
(510) 433-0744

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
CA
207RC0000X
Cardiovascular Disease Physician
207RC0001X
Clinical Cardiac Electrophysiology Physician
207RI0011X
Interventional Cardiology Physician
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0025431
CA
05
GR0025432
CA
05
GR0025433
CA
Enumeration date
07/23/2006
Last updated
05/15/2024
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