Individual
DR. JILLIAN E CIPA-TATUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2070 CLINTON AVE, ALAMEDA INPATIENT MEDICINE- ALAMEDA HOSPITAL, ALAMEDA, CA 94501-4399
(510) 814-4397
(510) 814-4391
Mailing address
2070 CLINTON AVE, ALAMEDA INPATIENT MEDICINE- ALAMEDA HOSPITAL, ALAMEDA, CA 94501-4399
(510) 814-4397
(510) 814-4391
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20A12882
CA
208M00000X
Hospitalist Physician
Primary
20A12882
CA
282E00000X
Long Term Care Hospital
20A12882
CA
282N00000X
General Acute Care Hospital
20A12882
CA
283Q00000X
Psychiatric Hospital
20A12882
CA
313M00000X
Nursing Facility/Intermediate Care Facility
20A12882
CA
314000000X
Skilled Nursing Facility
20A12882
CA
320700000X
Physical Disabilities Residential Treatment Facility
20A12882
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A12882
OSTEOPATHIC MEDICAL BOARD LICENSE NUMBER
CA
Enumeration date
07/20/2013
Last updated
05/25/2022
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