Organization
ASSOCIATED NEUROLOGY MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL ROBERT STARKEY MD (PRESIDENT OF CORPORATION)
(510) 834-5778
Entity
Organization
Contact information
Practice address
365 HAWTHORNE AVE, SUITE 203, OAKLAND, CA 94609-3107
(510) 834-5778
Mailing address
365 HAWTHORNE AVE, SUITE 203, OAKLAND, CA 94609-3107
(510) 834-5778
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
C1233914
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0017862
—
CA
Enumeration date
06/28/2007
Last updated
08/22/2020
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