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Contact Information

EMERYVILLE MULTISPECIALTY MEDICAL GROUP PROFESSIONAL CORPORATION
501 S SHORE CTR W
SUITE 103C
ALAMEDA, CA94501-5762
 Phone: 510-769-1118
 Fax: 510-769-1119
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Allergy & Immunology

207K00000X 03 Physician/Allergy/ Immunology
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Independent Medical Examiner

202C00000X
Indicates primary specialty

NPI Profile & details for EMERYVILLE MULTISPECIALTY MEDICAL GROUP PROFESSIONAL CORPORATION · (Female)

NPI # 1255536173
Status Active
Credentials
Entity Individual
Enumeration date 06/20/2007
Last updated 12/07/2012 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # A76128
  • CA License # A84509
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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