Healthcare Provider Details

I. General information

NPI: 1588804355
Provider Name (Legal Business Name): ALAMEDA HOSPITAL PHYSICANS, A COMMUNITY CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2009
Last Update Date: 02/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 S SHORE CTR W STE F
ALAMEDA CA
94501-5762
US

IV. Provider business mailing address

2070 CLINTON AVE C/O CHIEF FINANCIAL OFFICER
ALAMEDA CA
94501-4399
US

V. Phone/Fax

Practice location:
  • Phone: 510-814-4000
  • Fax: 510-814-4356
Mailing address:
  • Phone: 510-814-4000
  • Fax: 510-814-4005

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DEBORAH E. STEBBINS
Title or Position: CEO
Credential:
Phone: 510-814-4000