Organization Name: | ALAMEDA FAMILY PHYSICIANS MEDICAL GROUP, INC. |
NPI Number: | 1932310372 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN K CARPER (PRESIDENT) |
Mailing Address: | 2433 Central Ave Suite A Alameda |
State: | CA US |
Postal Code: | 945016562 |
Phone Number: | 5105212300 |
Fax Number: | 5105212748 |
NPI Enumeration Date: | 05/25/2007 |
NPI Last Update Date: | 12/17/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | FNP6323 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |