Provider First Line Business Practice Location Address:
1141 EAST 31ST ST.
Provider Second Line Business Practice Location Address:
DEPARTMENT OF EMERGENCY MEDICINE
Provider Business Practice Location Address City Name:
OAKLAND
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94602-1018
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-437-4564
Provider Business Practice Location Address Fax Number:
510-437-8322
Provider Enumeration Date:
01/21/2009