Healthcare Provider Details

I. General information

NPI: 1952813255
Provider Name (Legal Business Name): BERKELEY URGENT CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2017
Last Update Date: 10/27/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 COLBY ST STE 110
BERKELEY CA
94705-2090
US

IV. Provider business mailing address

3000 COLBY ST STE 110
BERKELEY CA
94705-2090
US

V. Phone/Fax

Practice location:
  • Phone: 209-596-3789
  • Fax:
Mailing address:
  • Phone: 209-596-3789
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. SYED NAWAB
Title or Position: OPERATIONS DIRECTOR
Credential:
Phone: 209-596-3789