Healthcare Provider Details

I. General information

NPI: 1609755214
Provider Name (Legal Business Name): EDNA EUNICE OBASEKI MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EDINNA OBASEKI MS, DOULA, BS, BA

II. Dates (important events)

Enumeration Date: 08/28/2025
Last Update Date: 08/28/2025
Certification Date: 08/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1912 KEITH ST
SAN FRANCISCO CA
94124-3205
US

IV. Provider business mailing address

2747 BROOKDALE AVE
OAKLAND CA
94602-2132
US

V. Phone/Fax

Practice location:
  • Phone: 415-470-6241
  • Fax:
Mailing address:
  • Phone: 510-229-8485
  • 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: