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NPI Code Detail

MEDICARE: SOFIA GONZALEZ ASTARLOA

MEDICARE: SOFIA GONZALEZ ASTARLOA
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
1136A00000XRegistered Dietetic Technician

General Provider Information

NPI Number : 1497621262
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOFIA GONZALEZ ASTARLOA
Provider Business Mailing Address
First Line : 2701 SHATTUCK AVE APT 300
Second Line :
City : BERKELEY
State : CA
Zip : 94705-1087
Country : US
Telephone Number : 510-684-9726
Fax Number :
Provider Business Practice Location Address
First Line : 7200 BANCROFT AVE STE 188
Second Line :
City : OAKLAND
State : CA
Zip : 94605-2452
Country : US
Telephone Number : 510-746-5561
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2025
Last Update Date : 10/16/2025

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Directions to “ SOFIA GONZALEZ ASTARLOA ” Practice Location

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