Healthcare Provider Details

I. General information

NPI: 1942049770
Provider Name (Legal Business Name): ATHINA CAJIGAL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2024
Last Update Date: 05/21/2024
Certification Date: 05/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1151 HARBOR BAY PKWY STE 101
ALAMEDA CA
94502-6590
US

IV. Provider business mailing address

1151 HARBOR BAY PKWY STE 101
ALAMEDA CA
94502-6590
US

V. Phone/Fax

Practice location:
  • Phone: 510-328-7400
  • Fax:
Mailing address:
  • Phone: 925-437-3251
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number014700203
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: