Organization
CHABOT FAMILY ASSOCIATES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANISH SHRIVASTAVA (CFO)
(510) 582-6424
Entity
Organization
Contact information
Practice address
19845 LAKE CHABOT RD STE 205, CASTRO VALLEY, CA 94546-4055
(510) 582-6424
(510) 582-6462
Mailing address
19845 LAKE CHABOT RD STE 205, CASTRO VALLEY, CA 94546-4055
(510) 582-6424
(510) 582-6462
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A110274
CA
Other
Enumeration date
12/16/2014
Last updated
09/09/2024
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