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NPI Code Detail

MEDICARE: THE WEST OAKLAND HEALTH COUNCIL

MEDICARE: THE WEST OAKLAND HEALTH COUNCIL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/Center
2363LP0808XPsychiatric/Mental Health Nurse Practitioner

Other Identifiers

General Provider Information

NPI Number : 1043331630
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE WEST OAKLAND HEALTH COUNCIL
Provider Business Mailing Address
First Line : 700 ADELINE ST
Second Line :
City : OAKLAND
State : CA
Zip : 94607-2608
Country : US
Telephone Number : 510-835-9610
Fax Number : 510-272-0209
Provider Business Practice Location Address
First Line : 5709 MARKET ST
Second Line :
City : OAKLAND
State : CA
Zip : 94608-2811
Country : US
Telephone Number : 510-444-9460
Fax Number :
Authorized Official
Title or Position : CEO
Name : ROBERT PHILLIPS
Credential :
Telephone Number : 510-835-9610
Provider Enumeration Date : 04/02/2007
Last Update Date : 04/15/2025

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Directions to “THE WEST OAKLAND HEALTH COUNCIL ” Practice Location

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