Healthcare Provider Details

I. General information

NPI: 1609788504
Provider Name (Legal Business Name): JOSEPH NEAL
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2050 FAIRMONT DR
CASTRO VALLEY CA
94578-1001
US

IV. Provider business mailing address

2050 FAIRMONT DR
CASTRO VALLEY CA
94578-1001
US

V. Phone/Fax

Practice location:
  • Phone: 510-895-5502
  • Fax:
Mailing address:
  • Phone: 510-895-5502
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: