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NPI Code Detail

MEDICARE: AMANUEL DANIEL DORENA

MEDICARE: AMANUEL DANIEL DORENA
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
1376K00000XNurse's AideCA

General Provider Information

NPI Number : 1760308274
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANUEL DANIEL DORENA
Provider Business Mailing Address
First Line : 1451 28TH AVE
Second Line :
City : OAKLAND
State : CA
Zip : 94601-1632
Country : US
Telephone Number : 510-261-9191
Fax Number :
Provider Business Practice Location Address
First Line : 1451 28TH AVE
Second Line :
City : OAKLAND
State : CA
Zip : 94601-1632
Country : US
Telephone Number : 510-261-9191
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2026
Last Update Date : 06/29/2026

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Directions to “ AMANUEL DANIEL DORENA ” Practice Location

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