Individual
MR. JAE OH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
40963 GRIMMER BLVD, FREMONT, CA 94538-2846
(510) 759-2085
Mailing address
390 40TH ST, OAKLAND, CA 94609-2633
(510) 613-0330
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/14/2023
Last updated
04/07/2025
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