Craniofacial Med Assoc Cho

NPI 1063549897 - Pediatrics - 2080P0203X

NPI Details
NPI 1063549897
Enumeration Date 02/28/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ELLIO ELLIO
Position HEAD OF DEPT
Phone (510) 428-3129
Fax (510) 601-3989
Practice Location
747 52ND ST
OAKLAND CA, 94609-1809, US
Phone (510) 428-3129
Fax (510) 601-3989
Business Location
3116 W MARCH LN
STE 200
STOCKTON CA, 95219-2369, US
Phone (209) 473-6555
Fax (209) 473-6543
Toxanomy
Taxonomy Code 2080P0203X
License State California
License Number A54952
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According to our database, Craniofacial Med Assoc Cho NPI is 1063549897, taxonomy code is 2080P0203X and license number is A54952, license state is located at California. Craniofacial Med Assoc Cho physically located at 747 52nd St, Oakland CA, 94609-1809. NPI Number 1033115704 has the healthcare provider type.

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1063549897 NPI number is provided on an as is basis without warranty of any kind. 1063549897 is maintained by the National Plan & Provider Enumeration System. The contents of Craniofacial Med Assoc Cho are for informational purposes only.