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Organization

HEALTHY OAKLAND

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CYNTHIA COOPER CLINICAL MANAGER (CLINICAL MANAGER)
(510) 444-9155
Entity
Organization

Contact information

Practice address
2580 SAN PABLO AVE, OAKLAND, CA 94612-1160
(510) 444-9155
Mailing address
2580 SAN PABLO AVE, OAKLAND, CA 94612-1160
(510) 444-9155

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
NP 15577
CA

Other

Enumeration date
01/06/2010
Last updated
01/06/2010
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