Provider Demographics
NPI:1487972790
Name:CITY OF BERKELEY
Entity type:Organization
Organization Name:CITY OF BERKELEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEPUTY CITY MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:DANIELS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-981-7002
Mailing Address - Street 1:1947 CENTER ST
Mailing Address - Street 2:SECOND FLOOR
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94704-1169
Mailing Address - Country:US
Mailing Address - Phone:510-981-7002
Mailing Address - Fax:
Practice Address - Street 1:1980 ALLSTON WAY
Practice Address - Street 2:H-105
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94704-1463
Practice Address - Country:US
Practice Address - Phone:510-644-6965
Practice Address - Fax:510-644-2887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-11
Last Update Date:2010-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility