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NPI Code Detail

MEDICARE: RONNI PELLEY

MEDICARE: RONNI PELLEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker134674CA

General Provider Information

NPI Number : 1588011787
Entity Type Code : Individual
Provider Name (Legal Business Name) : RONNI PELLEY
Provider Business Mailing Address
First Line : 8945 GOLF LINKS RD
Second Line :
City : OAKLAND
State : CA
Zip : 94605-4124
Country : US
Telephone Number : 510-317-1444
Fax Number :
Provider Business Practice Location Address
First Line : 8945 GOLF LINKS RD
Second Line :
City : OAKLAND
State : CA
Zip : 94605-4124
Country : US
Telephone Number : 510-654-4004
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2016
Last Update Date : 12/03/2025

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Directions to “ RONNI PELLEY ” Practice Location

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