Organization · Type 2 NPI

Myofascial Restoration and Integration Pomc

General Practice Physician · Oakland, CA

NPI number 1356916290 Active

Practice location

411 30th St Ste 314
Oakland, CA 94609-3312

Call (925) 326-8471 Map

Mailing address

155 Saint Germain Ln
Pleasant Hill, CA 94523-1135

Specialties and licenses

Taxonomy	Code	License
Orthopaedic Surgery Physician	207X00000X	None listed
General Practice Physician Primary	208D00000X	None listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

10 other providers at this address

Other general practice physician providers in Oakland

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NPI record

NPI: 1356916290
Entity type: Organization (Type 2)
Issued: May 24, 2021
Last updated: Jun 8, 2021
Status: Active

Other names

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Myofascial Restoration and Integration · doing business as
Myofascial Restoration and Integration · doing business as

Authorized official

Edward T Verceles, DO
Owner, Authorized Official
(925) 326-8471

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1356916290

Myofascial Restoration and Integration Pomc's National Provider Identifier is 1356916290, issued on May 24, 2021. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Oakland, CA. The record was last updated on Jun 8, 2021.