Healthcare Provider Details
I. General information
NPI: 1386522951
Provider Name (Legal Business Name): ONE LOVE CENTER FOR HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/22/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1305 FRANKLIN ST STE 310
OAKLAND CA
94612-3222
US
IV. Provider business mailing address
1305 FRANKLIN ST STE 310 310
OAKLAND CA
94612-3222
US
V. Phone/Fax
- Phone: 510-500-5224
- Fax:
- Phone: 510-500-5224
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SAMSON
MAEL
Title or Position: CEO
Credential:
Phone: 510-500-5224