Healthcare Provider Details

I. General information

NPI: 1447347877
Provider Name (Legal Business Name): ELIZABETH REED RINGROSE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2006
Last Update Date: 08/23/2020
Certification Date: 08/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1411 E 31ST ST ALAMEDA COUNTY MEDICAL CENTER
OAKLAND CA
94602-1080
US

IV. Provider business mailing address

2901 RUSSELL ST
BERKELEY CA
94705-2333
US

V. Phone/Fax

Practice location:
  • Phone: 510-437-4800
  • Fax:
Mailing address:
  • Phone: 510-848-4227
  • Fax: 510-548-8839

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberC22961
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberC022961
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: