Organization
UNIVERSITY HEALTHCARE ALLIANCE
Active
Other names
CCMG
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINE RUSLEN (DIRECTOR OF REIMBURSEMENT)
(510) 974-8297
Entity
Organization
Contact information
Practice address
388 9TH ST STE 250, OAKLAND, CA 94607-4294
(510) 571-0133
Mailing address
PO BOX 742244, LOS ANGELES, CA 90074-2244
(510) 974-8258
(510) 974-8322
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
01/02/2018
Last updated
01/02/2018
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