Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Children |
282NC2000X | A0[7] | Hospital-Children’s (PPS excluded) | |
Community/Behavioral Health |
251S00000X |
| NPI # | 1649479759 |
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| LBN Legal business name | CHILDREN'S HOSPITAL & RESEARCH CENTER OAKLAND | ||||
| Authorized official | FRANK TIEDEMANN - (CEO & PRESIDENT) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 07/18/2007 | ||||
| Last updated | 10/09/2007 - About 19 years ago | ||||
| Identifiers |
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