Cesar Chavez Mtu in Oakland - Pediatrics

Cesar Chavez Mtu - NPI 1376735621

Cesar Chavez Mtu is a Pediatrics in Oakland, California. Cesar Chavez Mtu practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Cesar Chavez Mtu is 1376735621. The last update date is 2007-08-10.

Cesar Chavez Mtu's current location address is 2825 International Blvd, Oakland, California. You can contact this provider via phone number 5104345200 and fax number 5104345222. The mailing address for Cesar Chavez Mtu is 2825 International Blvd, Oakland, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Cesar Chavez Mtu
Address 2825 International Blvd, Oakland, California
Phone Number 5104345200
Fax Number 5104345222
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CHIEF THER
Authorized Official Name Johnson Susan
Credentials PT
Telephone Number 5102673278

NPI Number Detail

NPI Number 1376735621
Provider Enumeration Date 2007-08-10
Last Updated Date 2007-08-10

Provider Mailing Address Detail

Address 2825 International Blvd
City Oakland
State California (CA)
Post Code 946011543
Phone Number 5104345200
Fax Number 5104345222

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 2251P0200X
Definition:
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development,

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
CCS00134F MEDICAL PROVIDER NUMBER

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FAQs about Cesar Chavez Mtu

What is the unique 10-digit identification code issued to Cesar Chavez Mtu by the Centers for Medicare & Medicaid Services?

The Cesar Chavez Mtu has been assigned the NPI (National Provider Identifier) 1376735621 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Cesar Chavez Mtu is physically located?

The Cesar Chavez Mtu is situated at the following address: 2825 International Blvd, Oakland, CA 946011543.

What is Cesar Chavez Mtu's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Cesar Chavez Mtu is Pediatrics, and the taxonomy code that categorizes this field of expertise is 2251P0200X.

On what date did the Centers for Medicare & Medicaid Services issue the 1376735621 to Cesar Chavez Mtu?

The Cesar Chavez Mtu received its 1376735621 assignment from the Centers for Medicare & Medicaid Services on 2007-08-10.

When was the information related to Cesar Chavez Mtu most recently updated or refreshed?

The details pertaining to the Cesar Chavez Mtu, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-08-10.

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