Healthcare Provider Details

I. General information

NPI: 1639406135
Provider Name (Legal Business Name): MUANG CHOY SAEPHAN MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/04/2009
Last Update Date: 11/08/2025
Certification Date: 11/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 18984
OAKLAND CA
94619-0984
US

IV. Provider business mailing address

PO BOX 18984
OAKLAND CA
94619-0984
US

V. Phone/Fax

Practice location:
  • Phone: 510-541-9493
  • Fax:
Mailing address:
  • Phone: 510-541-9493
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: