Organization
CHILDRENS HOSPITAL AND RESEARCH CENTER AT OAKLAND
Active
Other names
Pediatric Psychiatric Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
LISA HARDY MD (DIVISION DIRECTOR)
(510) 428-3571
Entity
Organization
Contact information
Practice address
747 52ND ST, OAKLAND, CA 94609-1809
(510) 428-3571
Mailing address
747 52ND ST, OAKLAND, CA 94609-1809
(510) 428-3571
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G77710
—
CA
05
—
GR0095840
—
CA
Enumeration date
07/01/2006
Last updated
08/22/2020
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