Healthcare Provider Details

I. General information

NPI: 1497566616
Provider Name (Legal Business Name): RICHELLE PIECHOWSKI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/16/2025
Last Update Date: 01/16/2025
Certification Date: 01/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5715 MUSICK AVE
NEWARK CA
94560-2554
US

IV. Provider business mailing address

35753 CEDAR BLVD
NEWARK CA
94560-1324
US

V. Phone/Fax

Practice location:
  • Phone: 510-818-4103
  • Fax:
Mailing address:
  • Phone: 510-818-3200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: