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Organization

BAY AREA CONSORTIUM FOR QUALITY HEALTH CARE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GWEN ROWE-LEE SYKES DRPH, MSW, MPH (EXECUTIVE DIRECTOR)
(510) 444-4300
Entity
Organization

Contact information

Practice address
10850 MACARTHUR BLVD, OAKLAND, CA 94605-5266
(510) 843-6194
Mailing address
405 14TH ST, SUITE 300, OAKLAND, CA 94612-2715
(510) 444-4300
(510) 444-4459

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
140000170
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AYD000300
MEDI-CAL PROVIDER NUMBER
CA
Enumeration date
03/13/2007
Last updated
04/27/2015
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