Organization
BEYOND EMANCIPATION TEEN HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID PAKTER MD (MEDICAL DIRECTOR)
(510) 261-4101
Entity
Organization
Contact information
Practice address
2647 INTERNATIONAL BLVD, SUITE 420, OAKLAND, CA 94601-1537
(510) 261-4102
Mailing address
2647 INTERNATIONAL BLVD, SUITE 420, OAKLAND, CA 94601-1537
(510) 261-4102
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
140000704
CA
Other
Enumeration date
08/20/2006
Last updated
06/18/2008
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