05D2191945 CLIA NUMBER - PINE PARK HEALTH INC

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Laboratory Demographics

CLIA Number: 05D2191945

Facility Name: PINE PARK HEALTH INC

Facility Address:
1144 65TH ST, SUITE F
OAKLAND, CA
ZIP 94608
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Facility Phone Number: 510 929-1400

Facility Type: Other - ASSISTED LIVING FACILITY

Certificate Type: Waiver

NPI Number: 1346879848

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name	Field Value
CLIA Number	05D2191945
LAB Type	Other - ASSISTED LIVING FACILITY
Facility Name	PINE PARK HEALTH INC
Street	1144 65TH ST, SUITE F
City	OAKLAND
State	CA
ZIP	94608
Phone	510 929-1400
CertificateType	4
CertificateEffectiveDate	9/2/2022
CertificateExpirationDate	9/1/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024