Healthcare Provider Details

I. General information

NPI: 1376465807
Provider Name (Legal Business Name): ARBELLA MARIE COOK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

770 53RD ST
OAKLAND CA
94609-1814
US

IV. Provider business mailing address

770 53RD ST
OAKLAND CA
94609-1814
US

V. Phone/Fax

Practice location:
  • Phone: 628-317-1969
  • Fax: 510-601-3912
Mailing address:
  • Phone: 628-317-1969
  • Fax: 510-601-3912

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: