Healthcare Provider Details
I. General information
NPI: 1285551655
Provider Name (Legal Business Name): LAWRENCE BERKELEY NATIONAL LABORATORY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1 CYCLOTRON RD
BERKELEY CA
94720-0001
US
IV. Provider business mailing address
1 CYCLOTRON WAY HEALTH SERVICES
BERKELEY CA
94720-0001
US
V. Phone/Fax
- Phone: 510-486-6266
- Fax: 510-486-7192
- Phone: 510-486-6266
- Fax: 510-486-7192
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2083X0100X |
| Taxonomy | Occupational Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JOSEPH
DANIEL
TOSCANO
Title or Position: SITE OCCUPATIONAL MEDICAL DIRECTOR
Credential: MD
Phone: 510-486-7589