Mooney, James K.

Mooney, James K. is an individual health care provider with primary practice located at 3300 Webster St Ste 710, Oakland CA 94609-3117. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Mooney, James K. can be contacted via phone (510) 465-5800.

Contact Information

Primary practice address
3300 Webster St Ste 710 Oakland CA 94609-3117
Phone: (510) 465-5800
Fax: (510) 839-8984
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G14377 California

Profile Details

NPI number 1073517603
LBN Legal business name Mooney, James K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
Last updated Sep 2nd, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073517603 NPPES
California MEDICAID 00G143770

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