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NPI Code Detail

MEDICARE: OAKLAND UNIFIED SCHOOL DISTRICT

MEDICARE: OAKLAND UNIFIED SCHOOL DISTRICT
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
1251300000XLocal Education Agency (LEA)CA

General Provider Information

NPI Number : 1740773902
Entity Type Code : Organization
Provider Name (Legal Business Name) : OAKLAND UNIFIED SCHOOL DISTRICT
Provider Business Mailing Address
First Line : 1011 UNION ST
Second Line :
City : OAKLAND
State : CA
Zip : 94607-2236
Country : US
Telephone Number : 510-879-8391
Fax Number :
Provider Business Practice Location Address
First Line : 1926 E 19TH ST
Second Line :
City : OAKLAND
State : CA
Zip : 94606-4126
Country : US
Telephone Number : 510-535-2877
Fax Number :
Authorized Official
Title or Position : CLINICAL SUPERVISOR
Name : GENEVIEVE HIGGINS REIS
Credential : LCSW
Telephone Number : 510-879-8391
Provider Enumeration Date : 06/12/2018
Last Update Date : 06/12/2018

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Directions to “OAKLAND UNIFIED SCHOOL DISTRICT ” Practice Location

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