Pediatric Psychiatric Medical Associates

LBN: Childrens Hospital And Research Center At Oakland
Pediatric Psychiatric Medical Associates is an health care organization with primary practice located at 747 52Nd St , Oakland CA 94609-1809. The organization recently has only one registered license in Hospitals / Children, which is considered as the primary health care specialty. Childrens Hospital And Research Center At Oakland can be contacted via phone (510) 428-3571, or through Hardy, Lisa via phone (510) 428-3571.

Contact Information

Primary practice address
747 52Nd St Oakland CA 94609-1809
Phone: (510) 428-3571
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hardy, Lisa Doctor of Medicine (MD)
Phone: (510) 428-3571

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Children 282NC2000X

Profile Details

NPI number 1831128974
LBN Legal business name Childrens Hospital And Research Center At Oakland
DBA Doing business as Pediatric Psychiatric Medical Associates
Authorized official Hardy, Lisa Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2006
Last updated Aug 22nd, 2020 - about 4 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831128974 NPPES
California MEDICAID GR0095840
California MEDICAID 00G77710

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