Provider Demographics
NPI:1588840763
Name:ALAMEDA COUNTY PUBLIC HEALTH TB
Entity Type:Organization
Organization Name:ALAMEDA COUNTY PUBLIC HEALTH TB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TB CONTROLLER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:BENJAMIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:510-208-5946
Mailing Address - Street 1:1000 BROADWAY STE 500
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94607-4033
Mailing Address - Country:US
Mailing Address - Phone:510-267-8040
Mailing Address - Fax:510-267-8085
Practice Address - Street 1:1000 BROADWAY STE 500
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94607-4033
Practice Address - Country:US
Practice Address - Phone:510-267-8040
Practice Address - Fax:510-267-8085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-17
Last Update Date:2008-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC33673251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare