Individual
CASEY CULBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
747 52ND ST, OAKLAND, CA 94609-1809
(510) 428-3294
(510) 428-3381
Mailing address
747 52ND ST, OAKLAND, CA 94609-1809
(510) 428-3294
(510) 428-3381
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
G60556
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G605560
—
CA
Enumeration date
09/29/2005
Last updated
02/27/2012
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