Individual
CHANNA SIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2648 INTERNATIONAL BLVD, OAKLAND, CA 94601-1506
(510) 903-7511
Mailing address
2648 INTERNATIONAL BLVD, OAKLAND, CA 94601-1506
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
01/15/2009
Last updated
01/15/2009
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