Imhotep Issaquena Medical Group
Imhotep Issaquena Medical Group provides Primary Care Clinic/Center services in Oakland, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
Practice location Address checks out
401 29th St #206Oakland, CA 94609-3519 Not confirmed with CMS for 18 years — call before visiting
Phone: (510) 231-0955
Fax: (510) 231-0482
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X · Licence G33795 (CA) |
|---|
Record details
| NPI number | 1659405165 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Otis Rounds — President · (510) 231-0955 |
| NPI enumerated | March 15, 2007 |
| Last updated in NPPES | June 27, 2008 |
| Mailing address | 2023 Vale Rd, 211, San Pablo, CA 94806-3834 |
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