Healthcare Provider Details

I. General information

NPI: 1528540838
Provider Name (Legal Business Name): THE WEST OAKLAND HEALTH COUNCIL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2018
Last Update Date: 09/04/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7450 INTERNATIONAL BLVD
OAKLAND CA
94621-2806
US

IV. Provider business mailing address

700 ADELINE ST
OAKLAND CA
94607-2608
US

V. Phone/Fax

Practice location:
  • Phone: 510-835-9610
  • Fax: 510-836-7799
Mailing address:
  • Phone: 510-835-9610
  • Fax: 510-836-7799

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JAMES P MCCABE
Title or Position: DIRECTOR OF PHARMACY SERVICES
Credential: RPH
Phone: 510-835-9610