Organization
CORNERSTONE INTEGRATIVE MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI ELLEN SHORE MD (CEO PARTNER, CO-OWNER)
(510) 326-4649
Entity
Organization
Contact information
Practice address
3012 SUMMIT ST STE 2675, OAKLAND, CA 94609-3480
(510) 869-6740
(510) 869-6742
Mailing address
3012 SUMMIT ST STE 2675, OAKLAND, CA 94609-3480
(510) 326-4649
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003114463
—
CA
05
—
1245404607
—
TN
05
—
1295995256
—
CA
05
—
1346573094
—
CA
05
—
1558678201
—
CA
05
—
1770571077
—
CA
05
—
1790937506
—
CA
05
—
1831124080
—
CA
05
—
1861427684
—
CA
05
—
1932538121
—
CA
Enumeration date
08/01/2019
Last updated
04/08/2021
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