Healthcare Provider Details

I. General information

NPI: 1396661054
Provider Name (Legal Business Name): STEPHANIE SCHNORBUS
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 HEGENBERGER RD STE 600
OAKLAND CA
94621-1462
US

IV. Provider business mailing address

1800 MADISON ST APT 604
OAKLAND CA
94612-4696
US

V. Phone/Fax

Practice location:
  • Phone: 510-568-0306
  • Fax:
Mailing address:
  • Phone: 205-396-5201
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: