Organization
EDEN MEDICAL CENTER
Active
Parent organization
EDEN MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
EDEN MEDICAL CENTER
Authorized official
MR. BRIAN TRENT HUNTER (VP SHARED SERVICES)
(916) 297-8555
Entity
Organization
Contact information
Practice address
20103 LAKE CHABOT RD, CASTRO VALLEY, CA 94546-5305
(510) 537-1234
(510) 582-1730
Mailing address
PO BOX 748373, LOS ANGELES, CA 90074-8373
(855) 398-1633
(510) 869-6592
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
140000030
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HSM00488G
—
CA
Enumeration date
06/01/2006
Last updated
12/03/2013
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