Organization
BAY AREA DIABETES AND WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH T LEONG RD (CEO)
(510) 922-8208
Entity
Organization
Contact information
Practice address
1904 FRANKLIN ST STE 250, OAKLAND, CA 94612-2945
(510) 922-8208
Mailing address
1904 FRANKLIN ST STE 250, OAKLAND, CA 94612-2945
(510) 922-8208
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
R802608
CA
Other
Enumeration date
08/12/2010
Last updated
01/31/2020
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