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NPI Code Detail

MEDICARE: GIORGIO BIANCHI

MEDICARE:   GIORGIO  BIANCHI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist20841CA

General Provider Information

NPI Number : 1164133252
Entity Type Code : Individual
Provider Name (Legal Business Name) : GIORGIO BIANCHI
Provider Business Mailing Address
First Line : 499 EMBARCADERO STE 1-10
Second Line :
City : OAKLAND
State : CA
Zip : 94606-5129
Country : US
Telephone Number : 510-541-5003
Fax Number :
Provider Business Practice Location Address
First Line : 1919 CUTTING BLVD
Second Line :
City : RICHMOND
State : CA
Zip : 94804-2662
Country : US
Telephone Number : 510-233-8513
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2022
Last Update Date : 12/08/2022

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Directions to “ GIORGIO BIANCHI ” Practice Location

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