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Organization

DEPARTMENT OF HEALTH SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HAYNES W SHEPPARD PHD (RESEARCH SCIENTIST SECTION CHIEF)
(510) 307-8538
Entity
Organization

Contact information

Practice address
850 MARINA BAY PKWY, VRDL, RICHMOND, CA 94804-6403
(510) 307-8575
(510) 307-8601
Mailing address
850 MARINA BAY PKWY, VRDL, RICHMOND, CA 94804-6403
(510) 307-8575
(510) 307-8601

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
LAB43850F
CA
Enumeration date
05/24/2006
Last updated
08/22/2020
About Stedi
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Product
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  • EDI platform