Healthcare Provider Details

I. General information

NPI: 1629992730
Provider Name (Legal Business Name): REBEKAH ASTLE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: REB ASTLE

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2409 E 27TH ST
OAKLAND CA
94601-1303
US

IV. Provider business mailing address

849 34TH ST
OAKLAND CA
94608-4314
US

V. Phone/Fax

Practice location:
  • Phone: 510-879-2179
  • Fax:
Mailing address:
  • Phone: 951-326-9224
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: