Organization
CITY OF BERKELEY PUBLIC HEALTH CLINIC (TB-IZ)
Active
Parent organization
CITY OF BERKELEY
Organization subpart
Yes
Provider details
NPI number
Legal business name
CITY OF BERKELEY
Authorized official
DR. JANET BERREMAN MD, MPH (MEDICAL DIRECTOR)
(510) 981-5301
Entity
Organization
Contact information
Practice address
830 UNIVERSITY AVE., PUBLIC HEALTH CLINIC, BERKELEY, CA 94710
(510) 981-5399
(510) 981-5385
Mailing address
830 UNIVERSITY AVE., PUBLIC HEALTH CLINIC, BERKELEY, CA 94710
(510) 981-5399
(510) 981-5385
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR11877F
—
CA
Enumeration date
02/05/2007
Last updated
11/21/2013
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