Healthcare Provider Details

I. General information

NPI: 1871252874
Provider Name (Legal Business Name): BOOKADOC2U LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2021
Last Update Date: 12/17/2021
Certification Date: 12/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1560 HUMBOLDT RD STE 2
CHICO CA
95928-9101
US

IV. Provider business mailing address

1560 HUMBOLDT RD STE 2
CHICO CA
95928-9101
US

V. Phone/Fax

Practice location:
  • Phone: 530-569-6263
  • Fax: 415-569-6267
Mailing address:
  • Phone: 530-569-6263
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: AKUA AGYEMAN
Title or Position: CEO
Credential: MD PHD
Phone: 415-321-9868