Organization
EAST BAY PULMONARY MEDICAL GROUP PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. COLLEEN TEJANO (OFFICE MANAGER)
(510) 329-5421
Entity
Organization
Contact information
Practice address
2000 VALE RD, SAN PABLO, CA 94806-3808
(510) 222-5421
(510) 222-5249
Mailing address
2000 VALE RD, SAN PABLO, CA 94806-3808
(510) 222-5421
(510) 222-5249
Taxonomy
Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
0000001075
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0001530
—
CA
Enumeration date
07/22/2006
Last updated
07/31/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us