Organization
WEST OAKLAND MTU
Active
Other names
Alameda County CCS
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN L JOHNSON PT (CHIEF THERAPIST)
(510) 267-3278
Entity
Organization
Contact information
Practice address
1240 18TH ST, RALPH BUNCH SCHOOL, RM CCS1, OAKLAND, CA 94607-2223
(510) 879-2261
(510) 879-1672
Mailing address
1000 BROADWAY FL 5, OAKLAND, CA 94607-4099
(510) 267-3278
(510) 268-2719
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CCS00101F
CCS PROVIDER NUMBER
CA
Enumeration date
01/09/2007
Last updated
09/11/2025
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