Healthcare Provider Details

I. General information

NPI: 1386580041
Provider Name (Legal Business Name): FNU MEHAK
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27254 GRANDVIEW AVE
HAYWARD CA
94542-2325
US

IV. Provider business mailing address

2668 CREST CT
UNION CITY CA
94587-1805
US

V. Phone/Fax

Practice location:
  • Phone: 510-688-8166
  • Fax: 510-397-1054
Mailing address:
  • Phone: 510-415-6440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: