Organization
ALAMEDA HEALTH SYSTEM
Active
Other names
Highland Outpatient Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KIM MIRANDA (CFO)
(510) 618-2147
Entity
Organization
Contact information
Practice address
1411 E 31ST ST, KORET BUIDLING, 6TH FLOOR, OAKLAND, CA 94602-1018
(510) 437-4800
(510) 437-4187
Mailing address
15400 FOOTHILL BLVD, SAN LEANDRO, CA 94578-1009
(510) 895-7344
(510) 895-7229
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
EXEMPT UNDER 12-35B
CA
Other
Enumeration date
04/20/2011
Last updated
04/27/2022
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