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INTERNATIONAL CENTER FOR INTEGRATIVE MEDICINE NPI 1972904183


NPI Information

NPI: 1972904183
Provider Name: INTERNATIONAL CENTER FOR INTEGRATIVE MEDICINE
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
3824 MACARTHUR BLVD
OAKLAND, CA
ZIP 94619
Phone: (510) 336-0129
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INTERNATIONAL CENTER FOR INTEGRATIVE MEDICINE is a clinic center in Oakland, CA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). INTERNATIONAL CENTER FOR INTEGRATIVE MEDICINE NPI is 1972904183. The provider is registered as an organization entity type.

The provider's business location address is:

3824 MACARTHUR BLVD
OAKLAND, CA
ZIP 94619-315
Phone: (510) 336-0129
Fax: (510) 336-0297

The provider's authorized official is Amy Matecki .
The authorized official title is President and has the following contact phone number (510) 336-0129.

The enumeration date for this NPI number is 9/7/2014 and was last updated on 9/7/2014.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

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: 5/5/2024

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