Organization
HIGHLAND HOSPITAL
Active
Other names
Alameda Health System
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAN PARK MD, DDS (OMFS PROGRAM DIRECTOR)
(510) 437-4800
Entity
Organization
Contact information
Practice address
1411 E 31ST ST, OAKLAND, CA 94602-1018
(510) 437-4800
Mailing address
1937 CEDAR ST, BERKELEY, CA 94709-2029
(408) 425-2738
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
100573
CA
282N00000X
General Acute Care Hospital
Primary
100573
CA
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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