Healthcare Provider Details

I. General information

NPI: 1235786047
Provider Name (Legal Business Name): JULIETH SALGADO CPHW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2019
Last Update Date: 08/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2950 INTERNATIONAL BLVD
OAKLAND CA
94601-2228
US

IV. Provider business mailing address

2950 INTERNATIONAL BLVD
OAKLAND CA
94601-2228
US

V. Phone/Fax

Practice location:
  • Phone: 510-535-4425
  • Fax: 510-436-9080
Mailing address:
  • Phone: 510-333-1352
  • Fax: 510-436-9080

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: