Healthcare Provider Details

I. General information

NPI: 1891149183
Provider Name (Legal Business Name): CLAUDIA JANET RUIZ BERBER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2016
Last Update Date: 04/25/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33255 NINTH ST.
UNION CITY CA
94587
US

IV. Provider business mailing address

1415 FRUITVALE AVE
OAKLAND CA
94601-2320
US

V. Phone/Fax

Practice location:
  • Phone: 510-471-5907
  • Fax: 510-471-0814
Mailing address:
  • Phone: 510-535-8401
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: