Organization
BOOKADOC2U LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AKUA AGYEMAN MD PHD (CEO)
(415) 321-9868
Entity
Organization
Contact information
Practice address
1560 HUMBOLDT RD STE 2, CHICO, CA 95928-9101
(530) 569-6263
(415) 569-6267
Mailing address
1560 HUMBOLDT RD STE 2, CHICO, CA 95928-9101
(530) 569-6263
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
261Q00000X
Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831377688
—
CA
Enumeration date
12/17/2021
Last updated
12/17/2021
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