Healthcare Provider Details

I. General information

NPI: 1568700086
Provider Name (Legal Business Name): MISS KEHINDE U APARA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2013
Last Update Date: 01/17/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12550 SKYLINE BLVD
OAKLAND CA
94619-3127
US

IV. Provider business mailing address

3124 INTERNATIONAL BLVD
OAKLAND CA
94601-2902
US

V. Phone/Fax

Practice location:
  • Phone: 510-531-5016
  • Fax:
Mailing address:
  • Phone: 510-531-5016
  • Fax: 510-261-6438

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code146N00000X
TaxonomyBasic Emergency Medical Technician
License Number
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: