Organization
CHILDREN'S HOSPITAL & RESEARCH CENTER OAKLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK TIEDEMANN MBA (CEO & PRESIDENT)
(510) 428-3461
Entity
Organization
Contact information
Practice address
747 52ND ST, OAKLAND, CA 94609-1809
(510) 428-3461
(510) 601-3461
Mailing address
747 52ND ST, OAKLAND, CA 94609-1809
(510) 428-3461
(510) 601-3461
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
486649
CA
282NC2000X
Children's Hospital
Primary
486649
CA
Other
Enumeration date
07/18/2007
Last updated
10/09/2007
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