Healthcare Provider Details

I. General information

NPI: 1821929837
Provider Name (Legal Business Name): ANATESIA VALENCIA KING
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2225 DURANT AVE
OAKLAND CA
94603-4036
US

IV. Provider business mailing address

2225 DURANT AVE
OAKLAND CA
94603-4036
US

V. Phone/Fax

Practice location:
  • Phone: 510-773-7743
  • Fax:
Mailing address:
  • Phone: 510-773-7743
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number88478
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: