Richard L Wacht Md Medical Corp
LBN: Richard L Wacht Md Medical Corp
Richard L Wacht Md Medical Corp is an health care organization with primary practice located at 419 30Th St , Oakland CA 94609-3303. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Richard L Wacht Md Medical Corp can be contacted via phone (510) 444-4305, or through Wacht, Richard Lee via phone (510) 444-4305.
Contact Information
Primary practice address
419 30Th St
Oakland CA 94609-3303
Phone: (510) 444-4305
Fax: (510) 444-6356
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | A021202 | California |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A021202 | California |
Profile Details
| NPI number | 1922010487 |
|---|---|
| LBN Legal business name | Richard L Wacht Md Medical Corp |
| DBA Doing business as | |
| Authorized official | Wacht, Richard Lee Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 13th, 2006 |
| Last updated | Sep 29th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922010487 | NPPES |
| Other | 21464656 | STATE TAX ID | |
| MEDICAID | 719 4316 | STATE TAX ID | |
| Other | 0754737 | STATE TAX ID |
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