Healthcare Provider Details

I. General information

NPI: 1659291417
Provider Name (Legal Business Name): SIENNA SAILLEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 OLYMPIC BLVD STE 240
WALNUT CREEK CA
94596-5079
US

IV. Provider business mailing address

PO BOX 28581
OAKLAND CA
94604-8581
US

V. Phone/Fax

Practice location:
  • Phone: 925-306-1145
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number106480
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: