Organization
AMBULATORY MEDICAL ASSOCIATES OF CHRCO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENISE DISMUKE-GIDEON (PRACTICE ADMINISTRATOR)
(510) 428-3044
Entity
Organization
Contact information
Practice address
5220 CLAREMONT AVE, OAKLAND, CA 94618-1033
(510) 428-3129
(510) 547-2702
Mailing address
3127 MONTICELLO AVE, OAKLAND, CA 94619-3343
(510) 759-9209
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A77758
CA
Other
Enumeration date
07/04/2006
Last updated
08/22/2020
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