IMHOTEP ISSAQUENA MEDICAL GROUP
Ambulatory Health at 29 St, Oakland, CA

License number
California G33795
Category
Ambulatory Health
Type
Primary Care
Owner
Name: OTIS EUGENE ROUNDS MD
Title: PRESIDENT
Phone: (510) 231-0955
Address
Address 2
401 29Th St #206, Oakland, CA 94609
2023 Vale Rd #211, Richmond, CA 94806
National Provider ID: 1659405165
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about IMHOTEP ISSAQUENA MEDICAL GROUP at bizstanding.com

IMHOTEP ISSAQUENA MEDICAL GROUP, INC

Richmond, CA

Status:
Inactive
Registration:
Feb 23, 1982
Addresses:
645 Lois Ln, El Sobrante, CA 94803 (Physical)
2023 Vale Rd, Richmond, CA 94806
State ID:
C1104692
Business type:
Articles of Incorporation
President:
Otis Eugene Rounds President, inactive

Ambulatory Health licenses in California










Other Doctors licenses in California