Healthcare Provider Details

I. General information

NPI: 1922912120
Provider Name (Legal Business Name): EAST BAY ASSISTED LIVING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 E 31ST ST
OAKLAND CA
94602-1016
US

IV. Provider business mailing address

1301 E 31ST ST
OAKLAND CA
94602-1016
US

V. Phone/Fax

Practice location:
  • Phone: 510-532-5986
  • Fax:
Mailing address:
  • Phone: 415-218-2620
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number StateNULL

VIII. Authorized Official

Name: ALICE KUANG
Title or Position: ADMINISTRATOR
Credential:
Phone: 510-532-5986