Healthcare Provider Details

I. General information

NPI: 1811793151
Provider Name (Legal Business Name): KARLAMONIQUE VEAL PHD, MS, MSW, PPSC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/19/2025
Last Update Date: 06/03/2025
Certification Date: 06/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4200 CONCORD BLVD
CONCORD CA
94521-1059
US

IV. Provider business mailing address

8617 FOUNTAIN BLUE CT
VALLEJO CA
94591-8568
US

V. Phone/Fax

Practice location:
  • Phone: 925-687-2030
  • Fax:
Mailing address:
  • Phone: 415-991-9536
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: