Organization
NORTHBAY HEALTHCARE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE L HARRIS (DIRECTOR)
(707) 646-4164
Entity
Organization
Contact information
Practice address
1793 NORTHWOOD CT, OAKLAND, CA 94611-1167
(510) 339-7372
Mailing address
1793 NORTHWOOD CT, OAKLAND, CA 94611-1167
(510) 339-7372
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
364689
CA
Other
Enumeration date
10/16/2009
Last updated
10/16/2009
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