Healthcare Provider Details

I. General information

NPI: 1528678547
Provider Name (Legal Business Name): MS. HILDA CHINYERE OPARAOCHA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/04/2020
Last Update Date: 08/04/2020
Certification Date: 08/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2925 E 16TH ST APT 1
OAKLAND CA
94601-2325
US

IV. Provider business mailing address

4100 REDWOOD RD STE 20A #207
OAKLAND CA
94619-2318
US

V. Phone/Fax

Practice location:
  • Phone: 510-253-3615
  • Fax:
Mailing address:
  • Phone: 510-253-3615
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: