Individual provider · Type 1 NPI

Jackie A. Bolds

Multi-Specialty Clinic/Center · Newark, CA

NPI number 1356497101 Active

Practice location

6066 Civic Terrace Ave
Newark, CA 94560

Call (510) 505-1600 Map

Fax (510) 494-7240

Mailing address

PO Box 10285
Oakland, CA 94610

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XG57227 (CA)

Multi-Specialty Clinic/Center: Definition to come...

17 other providers at this address

About NPI 1356497101

Jackie A. Bolds's National Provider Identifier is 1356497101, issued on Jan 26, 2007. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Newark, CA. The record was last updated on Jul 8, 2007.