Healthcare Provider Details

I. General information

NPI: 1700676236
Provider Name (Legal Business Name): PRZEMYSLAW BEBEL D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/08/2025
Last Update Date: 05/08/2025
Certification Date: 05/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2921 MCCLURE ST
OAKLAND CA
94609-3504
US

IV. Provider business mailing address

2921 MCCLURE ST
OAKLAND CA
94609-3504
US

V. Phone/Fax

Practice location:
  • Phone: 510-693-3723
  • Fax:
Mailing address:
  • Phone: 510-693-3723
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number35265
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: