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Pediatric Rehab Med Assoc
Pediatric Adolescent Medicine Physician in Oakland, California
NPI 1881721108

Pediatric Rehab Med Assoc is a Pediatric Adolescent Medicine Physician based in Stockton, CA and is specialized in Adolescent Medicine. Pediatric Rehab Med Assoc practices in Oakland, CA. The NPI Number for Pediatric Rehab Med Assoc is 1881721108 and holds a License No. A38652 (California).

The current practice location address for Pediatric Rehab Med Assoc is 747 52Nd St, Oakland, CA and can be reached out via phone at 510-428-3655 and via fax at 510-450-5821.

Location: 747 52Nd St, Oakland, CA, 95219-2369
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1881721108
Provider Name
Pediatric Rehab Med Assoc
Credential
Provider Entity Type
Organization
Address
747 52Nd St, Oakland, CA, 95219-2369
Phone Number
510-428-3655
Fax Number
510-450-5821
Provider Enumeration Date
02/27/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GR0095340 01 CA MEDI-CAL #
A38652 01 CA DR HAINING'S CA MD LIC
institution
Provider Business Practice Location Address Details
Address
747 52Nd St
City
Oakland
State
California
Zip
94609-1809
Phone Number
510-428-3655
Fax Number
510-450-5821
person
Provider Business Mailing Address Details
Address
747 52Nd St
City
Oakland
State
California
Zip
94609-1809
Phone Number
510-428-3655
Fax Number
510-450-5821
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Adolescent Medicine
Taxonomy
2080A0000X
License No.
A38652 (California)
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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