Healthcare Provider Details

I. General information

NPI: 1215389465
Provider Name (Legal Business Name): FARHANA JAHAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/11/2016
Last Update Date: 08/22/2025
Certification Date: 08/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

217 SANTA CLARA AVE APT 202
OAKLAND CA
94610-2644
US

IV. Provider business mailing address

217 SANTA CLARA AVE APT 202
OAKLAND CA
94610-2644
US

V. Phone/Fax

Practice location:
  • Phone: 408-768-9600
  • Fax:
Mailing address:
  • Phone: 408-768-9600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number117982
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number120575
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: