Healthcare Provider Details

I. General information

NPI: 1508484346
Provider Name (Legal Business Name): NATALIA MILNER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2020
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 BROADWAY
OAKLAND CA
94607-3807
US

IV. Provider business mailing address

400 BROADWAY
OAKLAND CA
94607-3807
US

V. Phone/Fax

Practice location:
  • Phone: 510-208-1047
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number132829
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: