East Bay Aids Center Medical Group Inc

LBN: East Bay Aids Center Medical Group Inc
East Bay Aids Center Medical Group Inc is an health care organization with primary practice located at 3100 Summit St 2Nd Floor, Oakland CA 94609-3410. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Infectious Disease is the primary health care specialty. East Bay Aids Center Medical Group Inc can be contacted via phone (510) 869-8400, or through Burack, Jeffrey via phone (510) 869-8480.

Contact Information

Primary practice address
3100 Summit St 2Nd Floor Oakland CA 94609-3410
Phone: (510) 869-8400
Fax: (510) 869-8475
Website:
Map and Directions
Authorized official contact:
Name: Burack, Jeffrey
Phone: (510) 869-8480

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X California
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X California

Profile Details

NPI number 1689600314
LBN Legal business name East Bay Aids Center Medical Group Inc
DBA Doing business as
Authorized official Burack, Jeffrey
Entity Organization
Organization subpart 1 No
Enumeration date Jun 24th, 2006
Last updated Dec 22nd, 2022 - about 2 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 1689600314 NPPES
California MEDICAID GR0087700

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