Pediatric Surgical Associates Of The East Bay

LBN: Pediatric Surgical Associates Of The East Bay
Pediatric Surgical Associates Of The East Bay is an health care organization with primary practice located at 744 52Nd St Suite 4100, Oakland CA 94609-1810. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as the primary health care specialty. Pediatric Surgical Associates Of The East Bay can be contacted via phone (510) 428-3017, or through Kim, Sunghoon via phone (510) 428-3017.

Contact Information

Primary practice address
744 52Nd St Suite 4100 Oakland CA 94609-1810
Phone: (510) 428-3017
Fax: (510) 428-3405
Website:
Map and Directions
Authorized official contact:
Name: Kim, Sunghoon Doctor of Medicine (MD)
Phone: (510) 428-3017

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X California

Profile Details

NPI number 1619932209
LBN Legal business name Pediatric Surgical Associates Of The East Bay
DBA Doing business as
Authorized official Kim, Sunghoon Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2006
Last updated May 19th, 2011 - about 13 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 1619932209 NPPES
California MEDICAID GR0086800

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