Healthcare Provider Details

I. General information

NPI: 1831130236
Provider Name (Legal Business Name): CLAUDIA LANDAU PH.D.,M.D.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 41ST ST
OAKLAND CA
94611-5250
US

IV. Provider business mailing address

930 SPRUCE ST
BERKELEY CA
94707-2425
US

V. Phone/Fax

Practice location:
  • Phone: 510-868-4181
  • Fax: 510-526-3342
Mailing address:
  • Phone: 510-868-4181
  • Fax: 510-526-3342

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License NumberG67736
License Number StateCA

VIII. Authorized Official

Name: DR. CLAUDIA LANDAU
Title or Position: OWNER
Credential:
Phone: 510-868-4181