Healthcare Provider Details

I. General information

NPI: 1396178794
Provider Name (Legal Business Name): ALAMEDA COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2013
Last Update Date: 06/25/2024
Certification Date: 06/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16335 E 14TH STREET ROOM 109 & 117
SAN LEANDRO CA
94578-3109
US

IV. Provider business mailing address

PO BOX 129
SAN LEANDRO CA
94577-0929
US

V. Phone/Fax

Practice location:
  • Phone: 510-667-3276
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. KARYN L TRIBBLE
Title or Position: DIRECTOR
Credential: PSYD, LCSW
Phone: 510-567-8100