Organization
CHILDREN'S HOPSITAL AND RESEARCH CENTER AT OAKLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHERISE NORTHCUTT PH.D. (MANAGER)
(510) 428-3885
Entity
Organization
Contact information
Practice address
770 53RD STREET, OAKLAND, CA 94609-1809
(510) 428-3649
Mailing address
747 52ND ST, OAKLAND, CA 94609-1809
(510) 428-3649
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
PSY19128
CA
Other
Enumeration date
03/30/2007
Last updated
08/22/2020
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