Organization
BERKELEY COMMUNITY HEALTH PROJECT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT KEVESS M.D. (MEDICAL DIRECTOR)
(510) 548-2570
Entity
Organization
Contact information
Practice address
2339 DURANT AVE, BERKELEY, CA 94704-1606
(510) 548-2570
(510) 548-1730
Mailing address
2339 DURANT AVE, BERKELEY, CA 94704-1606
(510) 548-2570
(510) 548-1730
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4260637
—
CA
Enumeration date
08/25/2007
Last updated
08/25/2007
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