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Organization

EDEN MEDICAL CENTER

Active
Other names
San Leandro Hospital
Organization subpart
No

Provider details

NPI number
Authorized official
MS. RONNIE BAYDUZA (ADMINISTRATOR)
(510) 667-4511
Entity
Organization

Contact information

Practice address
13855 E 14TH ST, SAN LEANDRO, CA 94578-2611
(510) 357-6500
Mailing address
P.O. BOX 60000, FILE 74500, SAN FRANCISCO, CA 94160-0001

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
140000030
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2082793
AETNA
CA
05
HSC00264I
CA
05
HSP40264I
CA
05
ZZR00264I
CA
01
ZZZA0118Z
BLUE SHIELD
CA
Enumeration date
04/24/2006
Last updated
01/11/2011
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