Healthcare Provider Details

I. General information

NPI: 1659693745
Provider Name (Legal Business Name): OAKLAND HEALTHCARE & WELLNESS CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2010
Last Update Date: 10/19/2022
Certification Date: 10/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3030 WEBSTER ST
OAKLAND CA
94609-3411
US

IV. Provider business mailing address

3030 WEBSTER ST
OAKLAND CA
94609-3411
US

V. Phone/Fax

Practice location:
  • Phone: 510-250-8000
  • Fax: 510-451-0823
Mailing address:
  • Phone: 510-250-8000
  • Fax: 510-451-0823

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number020000048
License Number StateCA

VIII. Authorized Official

Name: MR. SOL MAJER
Title or Position: PRESIDENT
Credential:
Phone: 626-800-1191