Healthcare Provider Details

I. General information

NPI: 1518336536
Provider Name (Legal Business Name): IOLANDA NAVA-MENNEN LVN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2015
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10850 MACARTHUR BLVD
OAKLAND CA
94605-5266
US

IV. Provider business mailing address

20094 MISSION BLVD
HAYWARD CA
94541-1237
US

V. Phone/Fax

Practice location:
  • Phone: 510-875-8300
  • Fax: 510-875-2310
Mailing address:
  • Phone: 415-230-9350
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95392405
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License NumberVN 214503
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: