Healthcare Provider Details

I. General information

NPI: 1073768040
Provider Name (Legal Business Name): ALAMEDA COUNTY PUBLIC HEALTH DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2008
Last Update Date: 11/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 BROADWAY STE 500
OAKLAND CA
94607-4033
US

IV. Provider business mailing address

1000 BROADWAY STE 500
OAKLAND CA
94607-4033
US

V. Phone/Fax

Practice location:
  • Phone: 510-267-8000
  • Fax: 510-267-3212
Mailing address:
  • Phone: 510-267-8000
  • Fax: 510-267-3212

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: ANTHONY ITON
Title or Position: DIRECTOR/HEALTH OFFICER
Credential:
Phone: 510-267-8019