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BEHAVIORAL HEALTH MED ASSOC CHO NPI 1639204977


NPI Information

NPI: 1639204977
Provider Name: BEHAVIORAL HEALTH MED ASSOC CHO
Classification: Pediatrics - 2080P0006X
Entity Type: Organization

Specialization: Developmental - Behavioral Pediatrics

Address:
747 52ND ST
OAKLAND, CA
ZIP 94609
Phone: (510) 428-3351
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BEHAVIORAL HEALTH MED ASSOC CHO is a developmental - behavioral pediatrics pediatrics in Oakland, CA. The provider is a developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. BEHAVIORAL HEALTH MED ASSOC CHO NPI is 1639204977. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

747 52ND ST
OAKLAND, CA
ZIP 94609-809
Phone: (510) 428-3351
Fax: (510) 601-3912

The provider's authorized official is Renee Wachtel .
The authorized official title is Head Of Dept and has the following contact phone number (510) 428-3351.

The enumeration date for this NPI number is 2/23/2007 and was last updated on 8/22/2020.


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
12080P0006XPediatricsDevelopmental - Behavioral PediatricsG85795CALIFORNIAYes

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
1G85795OTHERCALIFORNIADR WACHTEL CA MD LICENSE
2GR0095850OTHERCALIFORNIAMEDI-CAL

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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