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Chabot Nephrology Medical Group, Inc
Specialist in San Leandro, California
NPI 1912958422

Chabot Nephrology Medical Group, Inc is a Specialist based in San Leandro, CA. Chabot Nephrology Medical Group, Inc practices in San Leandro, CA. The NPI Number for Chabot Nephrology Medical Group, Inc is 1912958422 and holds a License No. (California).

The current practice location address for Chabot Nephrology Medical Group, Inc is 13851 E 14Th St, San Leandro, CA and can be reached out via phone at 510-351-9373 and via fax at 510-351-0616.

Location: 13851 E 14Th St, San Leandro, CA, 94577-4584
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912958422
Provider Name
Chabot Nephrology Medical Group, Inc
Credential
Provider Entity Type
Organization
Address
13851 E 14Th St, San Leandro, CA, 94577-4584
Phone Number
510-351-9373
Fax Number
510-351-0616
Provider Enumeration Date
05/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GR0045151 05 CA
271955 01 CA BRENDA PATRICK, NP
ZZZ05207Z 01 CA BLUESHIELD
GR0045150 05 CA
institution
Provider Business Practice Location Address Details
Address
13851 E 14Th St
City
San Leandro
State
California
Zip
94578-2631
Phone Number
510-351-9373
Fax Number
510-351-0616
person
Provider Business Mailing Address Details
Address
13851 E 14Th St
City
San Leandro
State
California
Zip
94578-2631
Phone Number
510-351-9373
Fax Number
510-351-0616
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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