I 5 Medical Group, Inc.

NPI 1184872285 - Clinic/Center - 261QM2500X

NPI Details
NPI 1184872285
Enumeration Date 09/03/2008
Last Updated 09/03/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name CAROLYN CAROLYN
Position OFFICE MGR
Phone (510) 547-5633
Fax
Practice Location
5915 B HOLLIS STREET
EMERYVILLE CA, 94608, US
Phone (510) 547-5633
Fax
Business Location
5915 B HOLLIS STREET
EMERYVILLE CA, 94608, US
Phone (510) 547-5633
Fax
Toxanomy
Taxonomy Code 261QM2500X
License State California
License Number C2421957
Remove 1184872285 NPI Number
 

According to our database, I 5 Medical Group, Inc. NPI is 1184872285, taxonomy code is 261QM2500X and license number is C2421957, license state is located at California. I 5 Medical Group, Inc. physically located at 5915 B Hollis Street, Emeryville CA, 94608. NPI Number 1033115704 has the healthcare provider type.

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1184872285 NPI number is provided on an as is basis without warranty of any kind. 1184872285 is maintained by the National Plan & Provider Enumeration System. The contents of I 5 Medical Group, Inc. are for informational purposes only.