Pediatric Medical Associates Of East Bay

LBN: Pediatric Medical Associates Of East Bay
Pediatric Medical Associates Of East Bay is an health care organization with primary practice located at 101 Callan Ave Suite 401, San Leandro CA 94577-4584. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Pediatric Medical Associates Of East Bay can be contacted via phone (510) 357-7077, or through Ng, Lawrence M via phone (510) 357-7077.

Contact Information

Primary practice address
101 Callan Ave Suite 401 San Leandro CA 94577-4584
Phone: (510) 357-7077
Fax: (510) 357-4363
Website:
Map and Directions
Authorized official contact:
Name: Ng, Lawrence M Doctor of Medicine (MD)
Phone: (510) 357-7077

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1780756866
LBN Legal business name Pediatric Medical Associates Of East Bay
DBA Doing business as
Authorized official Ng, Lawrence M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2006
Last updated Aug 22nd, 2020 - about 5 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 1780756866 NPPES
California MEDICAID GR0050650
California MEDICAID GR0050651

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