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NPI Code Detail

MEDICARE: MR. HUMBERTO RETANA MS

MEDICARE: MR. HUMBERTO RETANA MS
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
1106H00000XMarriage & Family Therapist49372CA

General Provider Information

NPI Number : 1598955890
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. HUMBERTO RETANA MS
Provider Business Mailing Address
First Line : 620 SANTA RAY AVE
Second Line :
City : OAKLAND
State : CA
Zip : 94610-1721
Country : US
Telephone Number : 510-288-8649
Fax Number :
Provider Business Practice Location Address
First Line : 770 53RD ST
Second Line :
City : OAKLAND
State : CA
Zip : 94609-1814
Country : US
Telephone Number : 510-428-3441
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2007
Last Update Date : 01/29/2026

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