Organization
ALAMEDA FAMILY PHYSICIAN MEDICAL GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER LAWRENCE CANDELL M.D. (CO- OWNER)
(510) 521-2300
Entity
Organization
Contact information
Practice address
2433 CENTRAL AVE, 2433 CENTRAL AVENUE, ALAMEDA, CA 94501-6562
(510) 521-2300
Mailing address
2433 CENTRAL AVE, 2433 CENTRAL AVENUE, ALAMEDA, CA 94501-6562
(510) 521-2300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0045200
—
CA
Enumeration date
02/08/2007
Last updated
08/22/2020
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