Provider Demographics
NPI:1972652543
Name:SIGAL MEDICAL GROUP
Entity Type:Organization
Organization Name:SIGAL MEDICAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:A
Authorized Official - Last Name:SIGAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:510-530-0170
Mailing Address - Street 1:4174 PARK BLVD
Mailing Address - Street 2:STE C
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94602-1207
Mailing Address - Country:US
Mailing Address - Phone:510-530-0170
Mailing Address - Fax:510-530-0171
Practice Address - Street 1:4174 PARK BLVD
Practice Address - Street 2:STE C
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94602-1207
Practice Address - Country:US
Practice Address - Phone:510-530-0170
Practice Address - Fax:510-530-0171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Multi-Specialty
Not Answered207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
Not Answered2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty
Not Answered2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty