Organization
UNIVERSITY HEALTHCARE ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINE RUSLEN (DIRECTOR OF REIMBURSEMENT)
(510) 974-8297
Entity
Organization
Contact information
Practice address
20055 LAKE CHABOT RD, SUITE 130, CASTRO VALLEY, CA 94546-5331
(510) 888-0657
Mailing address
20055 LAKE CHABOT RD, SUITE 130, CASTRO VALLEY, CA 94546-5331
(510) 888-0657
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
CA
Other
Enumeration date
11/30/2016
Last updated
06/30/2017
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