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MYOFASCIAL RESTORATION AND INTEGRATION POMC NPI 1356916290


NPI Information

NPI: 1356916290
Provider Name: MYOFASCIAL RESTORATION AND INTEGRATION POMC

Doing Business As: MYOFASCIAL RESTORATION AND INTEGRATION

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
411 30TH ST STE 314
OAKLAND, CA
ZIP 94609
Phone: (925) 326-8471
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MYOFASCIAL RESTORATION AND INTEGRATION POMC is a general practice in Oakland, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee MYOFASCIAL RESTORATION AND INTEGRATION POMC NPI is 1356916290. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Myofascial Restoration And Integration.

The provider's business location address is:

411 30TH ST STE 314
OAKLAND, CA
ZIP 94609-312
Phone: (925) 326-8471

The provider's authorized official is Edward T Verceles .
The authorized official title is OWNER, AUTHORIZED OFFICIALAuthorized Official and has the following contact phone number (925) 326-8471.

The enumeration date for this NPI number is 5/24/2021 and was last updated on 6/8/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207X00000XOrthopaedic SurgeryNo
2208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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