Organization
EAST BAY INNOVATIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS EDWARD HEINZ (EXECUTIVE DIRECTOR)
(510) 618-1580
Entity
Organization
Contact information
Practice address
303 WEST JOAQUIN AVE, SUITE 110, SAN LEANDRO, CA 94577
(510) 618-1580
(510) 618-1570
Mailing address
303 WEST JOAQUIN AVE, SUITE 110, SAN LEANDRO, CA 94577
(510) 618-1580
(510) 618-1570
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
11/12/2009
Last updated
11/12/2009
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