Healthcare Provider Details

I. General information

NPI: 1801758842
Provider Name (Legal Business Name): MRS. SONY LAMA SHRESTHA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/28/2025
Last Update Date: 11/28/2025
Certification Date: 11/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1944 EMBARCADERO
OAKLAND CA
94606-5213
US

IV. Provider business mailing address

1049 MARTIN BLVD
SAN LEANDRO CA
94577-1384
US

V. Phone/Fax

Practice location:
  • Phone: 510-344-7069
  • Fax:
Mailing address:
  • Phone: 785-317-1657
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: