Individual
ISAC PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2828 FORD ST, OAKLAND, CA 94601-2114
(510) 268-3770
Mailing address
2828 FORD ST, OAKLAND, CA 94601-2114
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
12/06/2024
Last updated
08/28/2025
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