NPI | 1720084163 |
---|---|
Doing Business As | WEST BERKELEY FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | MARTY LYNCH CEO 510-981-4100 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0000X Family Medicine, Adolescent Medicine (Licence: CA 020000503) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
207QA0505X Family Medicine, Adult Medicine (Licence: CA 020000503) | |
207V00000X Obstetrics & Gynecology (Licence: CA 020000503) | |
208000000X Pediatrics (Licence: CA 020000503) | |
Enumeration Date | 2005-06-21 |
Last Update Date | 2022-04-04 |