Healthcare Provider Details

I. General information

NPI: 1720556053
Provider Name (Legal Business Name): ACCESS OAKTOWN INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2018
Last Update Date: 11/05/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2693 FRUITVALE AVE
OAKLAND CA
94601-2034
US

IV. Provider business mailing address

2693 FRUITVALE AVE
OAKLAND CA
94601-2034
US

V. Phone/Fax

Practice location:
  • Phone: 510-330-4906
  • Fax: 510-330-4902
Mailing address:
  • Phone: 510-330-4906
  • Fax: 510-330-4902

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. DANIEL F. TORBATI
Title or Position: PRESIDENT/PIC
Credential:
Phone: 510-330-4906