Healthcare Provider Details

I. General information

NPI: 1003740374
Provider Name (Legal Business Name): ALYSSIA PAULA OSORIO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4055 TELEGRAPH AVE
OAKLAND CA
94609-2404
US

IV. Provider business mailing address

4100 MANILA AVE
OAKLAND CA
94609-2615
US

V. Phone/Fax

Practice location:
  • Phone: 415-930-2852
  • Fax:
Mailing address:
  • Phone: 415-930-2853
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: