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General NPI Number Information
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NPI Number | 1417042953
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Entity Type | Individual
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Provider Name | DAVID LOUIS M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 03/12/2020
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Provider Practice Location Address
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Address Line | 350 30TH STREET SUITE 540
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City | OAKLAND
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State | CA
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Zip | 94609-3487
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Country | US
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Telephone | 510-836-0223
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Fax | 510-836-8791
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Provider Business Mailing Address
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Address Line | 875 ISLAND DR STE A
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City | ALAMEDA
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State | CA
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Zip | 94502-6700
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Country | US
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Telephone | 510-457-1776
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | G39231
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License Number State | CA
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