Westcoast Childrens Clinic

NPI #1598195828 in Oakland, California

Provider Information

NPI Number: 1598195828
Entity Type: Organization
Organization Name: Westcoast Childrens Clinic
Primary Specialty: Specialist
Enumeration Date: Nov 22, 2013
Last Updated: Nov 22, 2013

Practice Location

Address: 3301 E 12TH ST
Address 2: SUITE 259
City: Oakland
State: California
ZIP Code: 94601-3424
Phone: (510) 269-9030

Authorized Official

Name: KELLEY GIN
Title: CLINICAL SERVICES DIRECTOR
Phone: (510) 269-9030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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