Healthcare Provider Details

I. General information

NPI: 1760304950
Provider Name (Legal Business Name): UNIFIED PATH HEALING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2315 LINCOLN AVE
ALAMEDA CA
94501-2929
US

IV. Provider business mailing address

2315 LINCOLN AVE
ALAMEDA CA
94501-2929
US

V. Phone/Fax

Practice location:
  • Phone: 858-321-8100
  • Fax:
Mailing address:
  • Phone: 858-321-8100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: FNU ALI BIN OSMAN
Title or Position: OWNER
Credential:
Phone: 858-321-8100