Organization
PACIFIC EAST HEALTHCARE, INC
Active
Other names
Pacific East Medical Group, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW B WALLACH M.D (PRESIDENT)
(510) 558-0886
Entity
Organization
Contact information
Practice address
10104 SAN PABLO AVE, EL CERRITO, CA 94530-3510
(510) 558-0886
(510) 558-8504
Mailing address
10104 SAN PABLO AVE, EL CERRITO, CA 94530-3510
(510) 558-0886
(510) 558-8504
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
G41883
CA
Other
Enumeration date
05/11/2006
Last updated
08/22/2020
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