Berkeley Cardiovascular Medical Group

LBN: Berkeley Cardiovascular Medical Group
Berkeley Cardiovascular Medical Group is an health care organization with primary practice located at 3300 Webster St Ste 702 , Oakland CA 94609-3122. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is the primary health care specialty. Berkeley Cardiovascular Medical Group can be contacted via phone (510) 549-4220, or through Edelen, John S via phone (510) 549-4220.

Contact Information

Primary practice address
3300 Webster St Ste 702 Oakland CA 94609-3122
Phone: (510) 549-4220
Fax: (510) 433-0744
Website:
Map and Directions
Authorized official contact:
Name: Edelen, John S Doctor of Medicine (MD)
Phone: (510) 549-4220

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X California
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X California

Profile Details

NPI number 1194746057
LBN Legal business name Berkeley Cardiovascular Medical Group
DBA Doing business as
Authorized official Edelen, John S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 23rd, 2006
Last updated May 15th, 2024 - about 7 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1194746057 NPPES
California MEDICAID GR0025431
California MEDICAID GR0025433
California MEDICAID GR0025432

Popular Providers