Miga, Inc
Organization Active NPI Primary Care Clinic/Center · Berkley, CA
NPI 1518770874 · NPPES record last updated Feb 5, 2025
Key facts
- NPI
- 1518770874
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- Legal business name
- MIGA, INC
- Practice address
- 1338 Carlotta Avenue
Berkley, CA 94703 - Phone
- (415) 307-3302
- NPI assigned
- Jan 30, 2025
- Organization subpart
- No
Authorized official
- Name
- Walt Cooper
- Title
- Ceo
- Phone
- (719) 466-1661
Practitioners 1
-
Terese Tatum, FNP
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Yes |
Addresses
Primary practice location
1338 Carlotta Avenue
Berkley, CA 94703
Mailing address
68 Harrison Ave Ste 605
Boston, MA 02111-1929
Phone (415) 307-3302
Other names
- Defiant Health
Other providers in Berkley, CA
All providers in Berkley, CA · Primary Care Clinic/Center in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.