Organization · Type 2 NPI

Imhotep Issaquena Medical Group

Primary Care Clinic/Center · Oakland, CA

NPI number 1659405165 Active

Practice location

401 29th St, #206
Oakland, CA 94609-3519

Call (510) 231-0955 Map

Fax (510) 231-0482

Mailing address

2023 Vale Rd, #211
San Pablo, CA 94806-3834

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XG33795 (CA)

Primary Care Clinic/Center: Definition to come...

13 other providers at this address

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About NPI 1659405165

Imhotep Issaquena Medical Group's National Provider Identifier is 1659405165, issued on Mar 15, 2007. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Oakland, CA. The record was last updated on Jun 27, 2008.