Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
Apr 17, 2014
License(s)
MD471315 (PA), A186742 (CA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 1411 E 31ST ST | Oakland, CA 94602-1092 | 510-437-4800 |
| MAILING | 7677 OAKPORT ST STE 1200 | Oakland, CA 94621-1975 | 510-618-5768 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.