Healthcare Provider Details

I. General information

NPI: 1700541307
Provider Name (Legal Business Name): ISIS COMMUNITY HEALTH LIMITED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2021
Last Update Date: 11/08/2021
Certification Date: 11/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2615 ASHBY AVE
BERKELEY CA
94705
US

IV. Provider business mailing address

2832 FULTON
SAN FRANCISCO CA
94118
US

V. Phone/Fax

Practice location:
  • Phone: 415-816-8138
  • Fax:
Mailing address:
  • Phone: 415-816-8138
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER JING YAU
Title or Position: FOUNDER CEO
Credential:
Phone: 415-816-8138