Healthcare Provider Details

I. General information

NPI: 1124201132
Provider Name (Legal Business Name): ALAMEDA COUNTY PUBLIC HEALTH DEPT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2007
Last Update Date: 12/12/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 BROADWAY STE 5000
OAKLAND CA
94607-4099
US

IV. Provider business mailing address

6462 LAUREL CREEK PL
LIVERMORE CA
94551-8954
US

V. Phone/Fax

Practice location:
  • Phone: 510-589-0817
  • Fax:
Mailing address:
  • Phone: 925-449-7386
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. LORI JEAN TRIGALET
Title or Position: PUBLIC HEALTH NURSE
Credential: RN PHN
Phone: 510-589-0817