Healthcare Provider Details

I. General information

NPI: 1619881406
Provider Name (Legal Business Name): GENESSIS DUENAS ALVAREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

851 34TH AVE APT D
OAKLAND CA
94601-3400
US

IV. Provider business mailing address

851 34TH AVE APT D
OAKLAND CA
94601-3400
US

V. Phone/Fax

Practice location:
  • Phone: 510-712-3743
  • Fax: 510-712-3743
Mailing address:
  • Phone: 510-712-3743
  • Fax: 510-712-3743

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: