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EAST BAY PULMONARY MEDICAL GROUP NPI 1720184716


NPI Information

NPI: 1720184716
Provider Name: EAST BAY PULMONARY MEDICAL GROUP
Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
2070 CLINTON AVE
ALAMEDA, CA
ZIP 94501
Phone: (510) 814-4089
Get Directions

EAST BAY PULMONARY MEDICAL GROUP is a pulmonary disease internal medicine in Alameda, CA. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. EAST BAY PULMONARY MEDICAL GROUP NPI is 1720184716. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2070 CLINTON AVE
ALAMEDA, CA
ZIP 94501-320
Phone: (510) 814-4089
Fax: (510) 521-4187

The provider's authorized official is William S Lowery .
The authorized official title is Doctor and has the following contact phone number (510) 814-4089.

The enumeration date for this NPI number is 9/16/2006 and was last updated on 12/5/2008.


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
1207RP1001XInternal MedicinePulmonary DiseaseYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ88061ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
2GR0007320MEDICAIDCALIFORNIA
3ZZZ88061ZMEDICARE PIN

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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