Organization
CHILDREN FIRST MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEONARD A KUTNIK MD (CHIEF EXECUTIVE OFFICER)
(510) 428-3472
Entity
Organization
Contact information
Practice address
1833 ALCATRAZ AVE, BERKELEY, CA 94703-2714
(510) 428-3443
(510) 450-5892
Mailing address
1833 ALCATRAZ AVE, BERKELEY, CA 94703
(510) 428-3443
(510) 450-5892
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
10/31/2006
Last updated
08/22/2020
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