Healthcare Provider Details

I. General information

NPI: 1932650488
Provider Name (Legal Business Name): KAREN KASTEIN R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/19/2016
Last Update Date: 10/19/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10850 MACARTHUR BLVD STE 200
OAKLAND CA
94605-5266
US

IV. Provider business mailing address

10850 MACARTHUR BLVD STE 200
OAKLAND CA
94605-5266
US

V. Phone/Fax

Practice location:
  • Phone: 510-875-2300
  • Fax: 510-875-2310
Mailing address:
  • Phone: 510-875-2300
  • Fax: 510-875-2310

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WA0400X
TaxonomyAddiction (Substance Use Disorder) Registered Nurse
License Number95107887
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: