Berkeley Pediatric Medical Group, Inc.

NPI #1407873425 in Berkeley, California

Provider Information

NPI Number: 1407873425
Entity Type: Organization
Organization Name: Berkeley Pediatric Medical Group, Inc.
Primary Specialty: Pediatrics
Enumeration Date: Jul 16, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1650 WALNUT ST
City: Berkeley
State: California
ZIP Code: 94709-1606
Phone: (510) 848-2566

Authorized Official

Name: EYDIE TALAVERA
Title: PRACTICE ADMINISTRATOR
Phone: (510) 848-2566

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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