Craniofacial Medical Assoc of Chrco
NPI #1780601401 in Oakland, California
Provider Information
- NPI Number
- 1780601401
- Entity Type
- Organization
- Organization Name
- Craniofacial Medical Assoc of Chrco
- Primary Specialty
- Pediatrics
- Enumeration Date
- Jul 17, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 747 52ND ST
- City
- Oakland
- State
- California
- ZIP Code
- 94609-1809
- Phone
- (510) 428-3150
Authorized Official
- Name
- ELIO LEAVITT GIZZI, MD
- Title
- MEDICAL DIRECTOR
- Phone
- (510) 428-3150
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