Healthcare Provider Details

I. General information

NPI: 1649183831
Provider Name (Legal Business Name): HSIN-JU TUNG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DORI TUNG

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 SANTA CLARA AVE STE 220
OAKLAND CA
94610-1375
US

IV. Provider business mailing address

55 SANTA CLARA AVE STE 220
OAKLAND CA
94610-1375
US

V. Phone/Fax

Practice location:
  • Phone: 510-373-9932
  • Fax:
Mailing address:
  • Phone: 510-373-9932
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: