MEDICARE: FARAJI HOUSE

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
1	251K00000X	Public Health or Welfare Agency
2	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1063241743
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FARAJI HOUSE

Provider Business Mailing Address
First Line	:	7406 DEERWOOD AVE
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94605-2731
Country	:	US
Telephone Number	:	415-988-2451
Fax Number	:	415-287-2853

Provider Business Practice Location Address
First Line	:	7406 DEERWOOD AVE
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94605-2731
Country	:	US
Telephone Number	:	415-988-2451
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	HILDA NGUTHU-BELL
Credential	:	PMHNP
Telephone Number	:	415-988-2451

Provider Enumeration Date	:	07/30/2024
Last Update Date	:	04/01/2026

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Directions to “FARAJI HOUSE ” Practice Location

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