Wellbound Of San Leandro Llc

NPI 1093996738 - Clinic/Center - 261QE0700X

NPI Details
NPI 1093996738
Enumeration Date 11/23/2007
Last Updated 05/15/2015
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name SUSAN L SUSAN
Position SECRETARY/CFO
Phone (510) 383-9602
Fax (510) 383-9631
Practice Location
1040 DAVIS STREET
SUITE 101
SAN LEANDRO CA, 94577-1513, US
Phone (510) 383-9602
Fax (510) 383-9631
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
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According to our database, Wellbound Of San Leandro Llc NPI is 1093996738, taxonomy code is 261QE0700X Wellbound Of San Leandro Llc physically located at 1040 Davis Street, San Leandro CA, 94577-1513. NPI Number 1033115704 has the healthcare provider type.

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1093996738 NPI number is provided on an as is basis without warranty of any kind. 1093996738 is maintained by the National Plan & Provider Enumeration System. The contents of Wellbound Of San Leandro Llc are for informational purposes only.