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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