Wellbound Of Emeryville Llc

NPI 1649242686 - Clinic/Center - 261QE0700X

NPI Details
NPI 1649242686
Enumeration Date 02/03/2006
Last Updated 05/14/2015
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name SUSAN L SUSAN
Position SECRETARY/CFO
Phone (510) 985-9660
Fax (510) 985-9664
Practice Location
2000 POWELL ST
SUITE 140
EMERYVILLE CA, 94608-1804, US
Phone (510) 985-9660
Fax (510) 985-9664
Business Location
300 SANTANA ROW
SUITE 300
SAN JOSE CA, 95128-2423, US
Phone (650) 404-3657
Fax (650) 625-6007
Toxanomy
Taxonomy Code 261QE0700X
License State
License Number
Remove 1649242686 NPI Number
 

According to our database, Wellbound Of Emeryville Llc NPI is 1649242686, taxonomy code is 261QE0700X Wellbound Of Emeryville Llc physically located at 2000 Powell St, Emeryville CA, 94608-1804. NPI Number 1033115704 has the healthcare provider type.

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1649242686 NPI number is provided on an as is basis without warranty of any kind. 1649242686 is maintained by the National Plan & Provider Enumeration System. The contents of Wellbound Of Emeryville Llc are for informational purposes only.