Organization
WHOLE HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABIGAIL SURASKY L.AC. (SOLE MEMBER/OWNER)
(510) 342-2380
Entity
Organization
Contact information
Practice address
1700 SHATTUCK AVE, BERKELEY, CA 94709-3402
(510) 845-8017
(844) 649-0670
Mailing address
2206 GRANT ST, BERKELEY, CA 94703-1714
(510) 342-2380
(844) 649-0670
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12493637
CAQH PROVIDER ID
CA
01
—
863934
OPTUM PROVIDER ID
CA
Enumeration date
07/29/2022
Last updated
07/29/2022
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