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Organization

CESAR CHAVEZ MTU

Active
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Organization

CESAR CHAVEZ MTU

Active
Parent organization
ALAMEDA COUNTY CCS
Other names
Alameda County CCS
Organization subpart
Yes

Provider details

NPI number
Legal business name
ALAMEDA COUNTY CCS
Authorized official
SUSAN JOHNSON PT (CHIEF THERAPIST)
(510) 267-3278
Entity
Organization

Contact information

Practice address
1000 BROADWAY, SUITE 500, OAKLAND, CA 94607-4099
(510) 267-3278
(510) 268-7110
Mailing address
2825 INTERNATIONAL BLVD, ROOM C121, OAKLAND, CA 94601-1543
(510) 434-5200
(510) 434-5222

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
CA
225XP0200X
Pediatric Occupational Therapist
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CCS00134F
MEDICAL PROVIDER NUMBER
Enumeration date
08/10/2007
Last updated
08/10/2007
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