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NPI Code Detail

MEDICARE: VIRGO INTERNATIONAL PARTNERS

MEDICARE: VIRGO INTERNATIONAL PARTNERS
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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1275353351
Entity Type Code : Organization
Provider Name (Legal Business Name) : VIRGO INTERNATIONAL PARTNERS
Provider Business Mailing Address
First Line : 6744 EASTLAWN ST
Second Line :
City : OAKLAND
State : CA
Zip : 94621-3518
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2305 ASHBY AVE
Second Line :
City : BERKELEY
State : CA
Zip : 94705-1909
Country : US
Telephone Number : 410-770-1133
Fax Number :
Authorized Official
Title or Position : CEO
Name : MR. ANTHONY PATRICK
Credential :
Telephone Number : 610-297-2297
Provider Enumeration Date : 10/14/2024
Last Update Date : 12/03/2025

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Directions to “VIRGO INTERNATIONAL PARTNERS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.