Organization
CYPRESS WOMENS CANCER TREATMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BABAK EDRAKI M.D. (CEO)
(925) 627-3440
Entity
Organization
Contact information
Practice address
1455 MONTEGO, STE 100, WALNUT CREEK, CA 94598-2990
(925) 627-3440
(925) 627-3450
Mailing address
1455 MONTEGO, STE 100, WALNUT CREEK, CA 94598-2990
(925) 627-3440
(925) 627-3450
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G67092
CA
207VX0201X
Gynecologic Oncology Physician
G67092
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487785531
—
CA
Enumeration date
03/08/2007
Last updated
07/14/2015
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