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Contact Information

EASTERSEALS NORTHERN CALIFORNIA
2730 SHADELANDS DRIVE, BLDG. 10
WALNUT CREEK, CA94598
 Phone: 925-266-8400
 Fax: 510-444-2470
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
 

Early Intervention Provider Agency

252Y00000X
 

Pediatrics

225XP0200X 67 Occupational Therapist in Private Practice
 

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for EASTERSEALS NORTHERN CALIFORNIA

NPI # 1700105079
LBN Legal business name EASTERSEALS NORTHERN CALIFORNIA
Authorized official ANDREA PETTIFORD - (PRESIDENT AND CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/25/2010
Last updated 12/31/2024 - More than a year ago
Identifiers
CA License # MFC45876
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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