Organization
CALIFORNIA HOSPITAL MEDICINE PHYSICIANS MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUJAL S. MANDAVIA MD (PRESIDENT)
(800) 424-3672
Entity
Organization
Contact information
Practice address
2070 CLINTON AVE, ALAMEDA, CA 94501-4399
(510) 522-3700
Mailing address
PO BOX 638682, CINCINNATI, OH 45263-8682
(800) 424-3672
(954) 377-3042
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
12/12/2014
Last updated
12/12/2014
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