Healthcare Provider Details

I. General information

NPI: 1992176689
Provider Name (Legal Business Name): TUNA YESIM OGUZ M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2015
Last Update Date: 10/07/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

433 ESTUDILLO AVE SUITE 205
SAN LEANDRO CA
94577-4915
US

IV. Provider business mailing address

510 16TH ST
OAKLAND CA
94612-1520
US

V. Phone/Fax

Practice location:
  • Phone: 510-357-5515
  • Fax:
Mailing address:
  • Phone: 510-357-5515
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: