East Bay Pulmonary Medical Group Professional Corporation
NPI #1962423087 in San Pablo, California
Provider Information
- NPI Number
- 1962423087
- Entity Type
- Organization
- Organization Name
- East Bay Pulmonary Medical Group Professional Corporation
- Primary Specialty
- Specialist/Technologist
- Enumeration Date
- Jul 22, 2006
- Last Updated
- Jul 31, 2014
Practice Location
- Address
- 2000 VALE RD
- City
- San Pablo
- State
- California
- ZIP Code
- 94806-3808
- Phone
- (510) 222-5421
Authorized Official
- Name
- MRS. COLLEEN TEJANO
- Title
- OFFICE MANAGER
- Phone
- (510) 329-5421
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist |
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