Healthcare Provider Details

I. General information

NPI: 1396306338
Provider Name (Legal Business Name): OCEAN PSYCHIATRY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2019
Last Update Date: 01/01/2026
Certification Date: 01/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39210 STATE ST STE 100
FREMONT CA
94538-1456
US

IV. Provider business mailing address

39210 STATE ST STE 100
FREMONT CA
94538-1456
US

V. Phone/Fax

Practice location:
  • Phone: 510-451-2000
  • Fax: 510-447-4808
Mailing address:
  • Phone: 510-451-2000
  • Fax: 510-447-4808

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. AHMED EL SOKKARY
Title or Position: OWNER
Credential: PHD
Phone: 510-451-2000