Healthcare Provider Details

I. General information

NPI: 1962822882
Provider Name (Legal Business Name): HUSNA MOHAMMADI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2014
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 MARKET ST
OAKLAND CA
94607-3330
US

IV. Provider business mailing address

31770 ALVARADO BLVD APT 46
UNION CITY CA
94587-3960
US

V. Phone/Fax

Practice location:
  • Phone: 510-543-0078
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP21697
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: