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Organization

UHS AT CALIFORNIA BERKELY TANG CENTER

Active
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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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