Healthcare Provider Details

I. General information

NPI: 1942092408
Provider Name (Legal Business Name): ZYMBOLIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2025
Last Update Date: 05/20/2025
Certification Date: 05/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5433 CRITTENDEN ST
OAKLAND CA
94601-5712
US

IV. Provider business mailing address

5433 CRITTENDEN ST
OAKLAND CA
94601-5712
US

V. Phone/Fax

Practice location:
  • Phone: 510-566-5047
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QS1000X
TaxonomyStudent Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. JOSE CRUZ JAUREGUI
Title or Position: CEO & CO - FOUNDER
Credential:
Phone: 510-566-5047