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NPI Code Detail

MEDICARE: DINA PERCIA

MEDICARE: DINA PERCIA
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1639624547
Entity Type Code : Individual
Provider Name (Legal Business Name) : DINA PERCIA
Provider Business Mailing Address
First Line : 42 CALIFORNIA AVE
Second Line :
City : ORINDA
State : CA
Zip : 94563-2106
Country : US
Telephone Number : 310-562-2178
Fax Number :
Provider Business Practice Location Address
First Line : 2501 HARRISON ST
Second Line :
City : OAKLAND
State : CA
Zip : 94612-3811
Country : US
Telephone Number : 510-444-3344
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2016
Last Update Date : 09/06/2016

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Directions to “ DINA PERCIA ” Practice Location

Language Start Address Practice Location
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.

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