Organization
EDEN MEDICAL CENTER
Active
Other names
San Leandro Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE D. BISCHALANEY (CEO)
(510) 727-2703
Entity
Organization
Contact information
Practice address
13855 E 14TH ST, SAN LEANDRO, CA 94578-2611
(510) 357-6500
(510) 667-4572
Mailing address
20103 LAKE CHABOT RD, CASTRO VALLEY, CA 94546-5305
(510) 537-1234
(510) 889-6506
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2082793
AETNA
CA
05
—
HSC00264I
—
CA
05
—
HSP40264I
—
CA
05
—
ZZR00264I
—
CA
01
—
ZZZ0118Z
BLUE SHIELD
CA
Enumeration date
03/29/2012
Last updated
08/27/2013
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