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General NPI Number Information
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NPI Number | 1477940187
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Entity Type | Organization
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Legal Business Name | CITY HEALTH, A MEDICAL CORPORATION
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Dates
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Enumeration Date | 04/20/2015
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 201 DOLORES AVE
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City | SAN LEANDRO
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State | CA
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Zip | 94577-5007
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Country | US
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Telephone | 510-971-2489
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Fax |
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Provider Business Mailing Address
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Address Line | 201 DOLORES AVE
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City | SAN LEANDRO
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State | CA
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Zip | 94577-5007
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Country | US
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Telephone | 415-671-9615
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SEAN PARKIN
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Credential | PA
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Telephone | 510-984-2489
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207ND0900X
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Taxonomy Name | Dermatopathology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207NP0225X
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Taxonomy Name | Pediatric Dermatology Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207NS0135X
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Taxonomy Name | Procedural Dermatology Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | C3763203
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License Number State | CA
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Taxonomy #11
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #12
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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