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Contact Information

TRAUMA & STRESS RECOVERY, A MEDICAL GROUP INC.
500 12TH ST STE 110
OAKLAND, CA94607-4005
 Phone: 415-346-8640
 Fax: 415-563-2273
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Counselor

101Y00000X
 

Psychologist

103T00000X 62 Psychologist, Clinical
 

Rehabilitation

103TR0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for TRAUMA & STRESS RECOVERY, A MEDICAL GROUP INC.

NPI # 1528676269
LBN Legal business name TRAUMA & STRESS RECOVERY, A MEDICAL GROUP INC.
Authorized official CHRISTIAN ASUELO - (PRACTICE ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/20/2020
Last updated 07/28/2020 - About 6 years ago
Identifiers n/a
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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