Healthcare Provider Details

I. General information

NPI: 1346062072
Provider Name (Legal Business Name): SHOSHANA MOED
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2024
Last Update Date: 10/24/2024
Certification Date: 10/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2526 MARTIN LUTHER KING JR WAY
BERKELEY CA
94704-2607
US

IV. Provider business mailing address

2526 MARTIN LUTHER KING JR WAY
BERKELEY CA
94704-2607
US

V. Phone/Fax

Practice location:
  • Phone: 510-467-0520
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: