Organization
EAST BAY ORTHOPAEDIC SPECIALISTS MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE ARTHUR PUGH M.D. (PRESIDENT)
(510) 238-1468
Entity
Organization
Contact information
Practice address
350 30TH ST STE 530, OAKLAND, CA 94609-3426
(510) 238-1468
(510) 839-3796
Mailing address
350 30TH ST STE 530, OAKLAND, CA 94609-3426
(510) 238-1468
(510) 839-3796
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G38318
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G383180
MEDI-CAL
CA
Enumeration date
01/24/2007
Last updated
10/07/2009
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