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Organization

BERKELEY PEDIATRIC MEDICAL GROUP, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EYDIE TALAVERA (PRACTICE ADMINISTRATOR)
(510) 848-2566
Entity
Organization

Contact information

Practice address
1650 WALNUT ST, BERKELEY, CA 94709-1606
(510) 848-2566
Mailing address
1650 WALNUT ST, BERKELEY, CA 94709-1606
(510) 848-2566

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
07/16/2006
Last updated
08/22/2020
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