Healthcare Provider Details

I. General information

NPI: 1043190341
Provider Name (Legal Business Name): DENISE SCHWAB
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2025
Last Update Date: 09/05/2025
Certification Date: 09/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 TALBOT AVE
ALBANY CA
94706-2020
US

IV. Provider business mailing address

920 TALBOT AVE
ALBANY CA
94706-2020
US

V. Phone/Fax

Practice location:
  • Phone: 510-920-3700
  • Fax:
Mailing address:
  • Phone: 510-558-3700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License NumberA10F8A44A1
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: