Healthcare Provider Details

I. General information

NPI: 1275566887
Provider Name (Legal Business Name): FAMILY PLANNING SPECIALLISTS MEDICAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 WEBSTER ST 100
OAKLAND CA
94607-4108
US

IV. Provider business mailing address

200 WEBSTER ST 100
OAKLAND CA
94607-4108
US

V. Phone/Fax

Practice location:
  • Phone: 510-268-3720
  • Fax: 510-268-0401
Mailing address:
  • Phone: 510-268-3720
  • Fax: 510-268-0401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0005X
TaxonomyAmbulatory Family Planning Facility
License Number
License Number StateCA

VIII. Authorized Official

Name: PAUL C. WRIGHT
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 510-268-3720