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NPI Code Detail

MEDICARE: OAKLAND TECHNICAL HIGH SCHOOL

MEDICARE: OAKLAND TECHNICAL HIGH SCHOOL
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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1083922157
Entity Type Code : Organization
Provider Name (Legal Business Name) : OAKLAND TECHNICAL HIGH SCHOOL
Provider Business Mailing Address
First Line : 4351 BROADWAY
Second Line :
City : OAKLAND
State : CA
Zip : 94611-4612
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4351 BROADWAY
Second Line :
City : OAKLAND
State : CA
Zip : 94611-4612
Country : US
Telephone Number : 510-879-3050
Fax Number :
Authorized Official
Title or Position : PRINCIPAL
Name : SHEILAGH ANDUJAR
Credential :
Telephone Number : 510-879-3050
Provider Enumeration Date : 09/22/2010
Last Update Date : 09/22/2010

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Directions to “OAKLAND TECHNICAL HIGH SCHOOL ” Practice Location

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