MEDICARE: NIRUPAMA LAL

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	101YM0800X	Mental Health Counselor		CA

General Provider Information

NPI Number	:	1720954803
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NIRUPAMA LAL

Provider Business Mailing Address
First Line	:	511 MONTCLAIR AVE
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94606-1517
Country	:	US
Telephone Number	:	510-712-2508
Fax Number	:

Provider Business Practice Location Address
First Line	:	5880 THORNHILL DR
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94611-2147
Country	:	US
Telephone Number	:	510-712-2508
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/15/2025
Last Update Date	:	10/15/2025

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Directions to “ NIRUPAMA LAL ” Practice Location

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