Organization
UHS AT CALIFORNIA BERKELY TANG CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA SORGI RN (CAREER RN ALLERGY/TRAVEL)
(510) 643-7177
Entity
Organization
Contact information
Practice address
2222 BANCROFT AVE., BERKELEY, CA 94720-4300
(510) 643-7177
(510) 643-9790
Mailing address
2222 BANCROFT WAY SPC 4300, BERKELEY, CA 94720-4300
(510) 643-7177
(510) 643-9790
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
267742
CA
261QH0100X
Health Service Clinic/Center
Primary
267742
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
163W00000X
LEVEL 1 PROVIDER RN
CA
01
—
267742
26LEVEL ONE HEALTH CARE PROVIDER
CA
Enumeration date
02/04/2011
Last updated
02/04/2011
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