Healthcare Provider Details

I. General information

NPI: 1972652543
Provider Name (Legal Business Name): SIGAL MEDICAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4174 PARK BLVD STE C
OAKLAND CA
94602-1207
US

IV. Provider business mailing address

4174 PARK BLVD STE C
OAKLAND CA
94602-1207
US

V. Phone/Fax

Practice location:
  • Phone: 510-530-0170
  • Fax: 510-530-0171
Mailing address:
  • Phone: 510-530-0170
  • Fax: 510-530-0171

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. HENRY A SIGAL
Title or Position: PRESIDENT
Credential: M.D.
Phone: 510-530-0170