Healthcare Provider Details

I. General information

NPI: 1619390473
Provider Name (Legal Business Name): BABY BUILDERS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2014
Last Update Date: 08/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4179 PIEDMONT AVE STE 201
OAKLAND CA
94611-5187
US

IV. Provider business mailing address

1037 AQUARIUS WAY
OAKLAND CA
94611
US

V. Phone/Fax

Practice location:
  • Phone: 510-333-4579
  • Fax:
Mailing address:
  • Phone: 510-333-4579
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number6702
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. ALEX E ESPARZA
Title or Position: CFO
Credential: CFA
Phone: 510-333-4579