MEDICARE: ISABEL REAL

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	175T00000X	Peer Specialist

General Provider Information

NPI Number	:	1861357014
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ISABEL REAL

Provider Business Mailing Address
First Line	:	36012 CABRILLO DR
Second Line	:
City	:	FREMONT
State	:	CA
Zip	:	94536-5410
Country	:	US
Telephone Number	:	510-453-4581
Fax Number	:

Provider Business Practice Location Address
First Line	:	2855 TELEGRAPH AVE STE 509
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94705-1151
Country	:	US
Telephone Number	:	510-453-4581
Fax Number	:

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

Provider Enumeration Date	:	12/19/2025
Last Update Date	:	12/19/2025

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Directions to “ ISABEL REAL ” Practice Location

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