Pediatric Rehab Med Assoc

LBN: Pediatric Rehab Med Assoc
Pediatric Rehab Med Assoc 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 Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as the primary health care specialty. Pediatric Rehab Med Assoc can be contacted via phone (510) 428-3655, or through Haining, Robert via phone (510) 428-3655.

Contact Information

Primary practice address
747 52Nd St Oakland CA 94609-1809
Phone: (510) 428-3655
Fax: (510) 450-5821
Website:
Map and Directions
Authorized official contact:
Name: Haining, Robert Doctor of Medicine (MD)
Phone: (510) 428-3655

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X A38652 California

Profile Details

NPI number 1881721108
LBN Legal business name Pediatric Rehab Med Assoc
DBA Doing business as
Authorized official Haining, Robert Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2007
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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1881721108 NPPES
California Other GR0095340 MEDI-CAL #
California Other A38652 MEDI-CAL #

Popular Providers