Provider First Line Business Practice Location Address:
1411 E 31ST STREET
Provider Second Line Business Practice Location Address:
OAKCARE MEDICAL GROUP
Provider Business Practice Location Address City Name:
OAKLAND
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94602-1080
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
510-437-4323
Provider Business Practice Location Address Fax Number:
510-437-5042
Provider Enumeration Date:
08/08/2006