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BETTENEL MEDICAL GROUP INC NPI 1487747804


NPI Information

NPI: 1487747804
Provider Name: BETTENEL MEDICAL GROUP, INC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
365 HAWTHORNE AVE STE 301
OAKLAND, CA
ZIP 94609
Phone: (510) 893-1700
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BETTENEL MEDICAL GROUP, INC is an obstetrics gynecology in Oakland, CA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. BETTENEL MEDICAL GROUP, INC NPI is 1487747804. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

365 HAWTHORNE AVE STE 301
OAKLAND, CA
ZIP 94609-113
Phone: (510) 893-1700
Fax: (510) 893-0110

The provider's authorized official is Ed Blumenstock .
The authorized official title is President and has the following contact phone number (510) 893-1700.

The enumeration date for this NPI number is 9/30/2006 and was last updated on 9/4/2007.


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
1207V00000XObstetrics & GynecologyG022905CALIFORNIAYes

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
1A41765MEDICARE UPIN

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: 11/14/2023

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