East Bay Family Practice Medical Group INC

NPI #1154313237 in Oakland, California

Provider Information

NPI Number
1154313237
Entity Type
Organization
Organization Name
East Bay Family Practice Medical Group INC
Primary Specialty
Family Medicine
Enumeration Date
Aug 16, 2005
Last Updated
Aug 22, 2020

Practice Location

Address
3100 TELEGRAPH AVE
Address 2
STE 2109
ZIP Code
94609-3210
Phone
(510) 645-9900

Authorized Official

Name
MS. AUDREY D'ANDREA, MD
Title
VICE PRESIDENT SHARE HOLDER
Phone
(510) 645-9900

Specialties & Taxonomy Codes

Specialty
Family Medicine

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