Pediatric Rehab Med Assoc
Pediatric Adolescent Medicine
Pediatric Rehab Med Assoc is a Oakland, California based Pediatric center with medical specialization in
Pediatric Adolescent Medicine.
It is located at
747 52nd St, Oakland, California - 94609-1809. They can be contacted on phone at
510-428-3655 and fax number 510-450-5821.
NPI number (Unique professional ID) for Pediatric Rehab Med Assoc is
1881721108 which was assigned by NPPES on 27 Feb, 2007 and it was last updated on 22 Aug, 2020.
Pediatric Rehab Med Assoc license number is
A38652 for Pediatrics Adolescent Medicine (2080A0000X) in California.
Pediatric Rehab Med Assoc 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.
Complete Profile:
Pediatric Rehab Med Assoc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Pediatric Rehab Med Assoc |
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Business Address:
Pediatric Rehab Med Assoc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 747 52nd St
Oakland, CA, 94609-1809
United States |
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| Phone Number : | 510-428-3655 |
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| Fax Number : | 510-450-5821 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1881721108 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 27 Feb, 2007 |
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| Last Updated On : | 22 Aug, 2020 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Robert Haining |
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| Authorized Official Credential : | MD |
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| Official Title or Position : | HEAD OF DEPT |
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| Phone Number : | 510-428-3655 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pediatric Rehab Med Assoc are as mentioned. Primary taxonomy code for Pediatric Rehab Med Assoc is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | A38652 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Pediatric Rehab Med Assoc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| A38652 | Other | CA | DR HAINING'S CA MD LIC |
| GR0095340 | Other | CA | MEDI-CAL # |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3116 W March Ln, Ste 200
Stockton, CA, 95219-2369
United States |
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| Phone Number : | 209-473-6555 |
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| Fax Number : | 209-473-6543 |
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Business Location:
Patients can refer following map for directions to
Pediatric Rehab Med Assoc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.