MEDICARE: EMYLENA GALAEN SQUIRES

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
1	225100000X	Physical Therapist	PT24280	CA

General Provider Information

NPI Number	:	1649480567
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMYLENA GALAEN SQUIRES

Provider Business Mailing Address
First Line	:	1334 LIBERTY ST
Second Line	:
City	:	EL CERRITO
State	:	CA
Zip	:	94530-2311
Country	:	US
Telephone Number	:	510-232-2968
Fax Number	:

Provider Business Practice Location Address
First Line	:	614 GRAND AVE
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94610-3554
Country	:	US
Telephone Number	:	510-286-8100
Fax Number	:	510-286-8104

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1053279901 — NICOLE BERROW
Practice Location Address:

614 GRAND AVE STE 203
OAKLAND, CA
94610-3554

Practice Phone: 844-638-6968
Practice Fax:

1770738122 — CLAUDIUS JOHNSON LCSW
Practice Location Address:

614 GRAND AVE , STE 203
OAKLAND, CA
94610-3554

Practice Phone: 510-433-0244
Practice Fax: 510-380-6525

1609152891 — PREMA ARHIN L.AC.
Practice Location Address:

614 GRAND AVE , SUITE # B AND C
OAKLAND, CA
94610-3554

Practice Phone: 510-286-8100
Practice Fax:

1740602549 — SANKOFA HOLISTIC COUNSELING SERVICES, A PROFESSIONAL CLINICAL SOCIAL W
Practice Location Address:

614 GRAND AVE , SUITE 203
OAKLAND, CA
94610-3554

Practice Phone: 510-433-0244
Practice Fax:

1093113581 — CRYSTAL CROWLEY LMFT
Practice Location Address:

614 GRAND AVE STE 203
OAKLAND, CA
94610-3554

Practice Phone: 510-972-8316
Practice Fax:

1255791067 — LAI CHIEN LMFT, #143222
Practice Location Address:

614 GRAND AVE
OAKLAND, CA
94610-3554

Practice Phone: 510-775-1339
Practice Fax:

Directions to “ EMYLENA GALAEN SQUIRES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.