| Casa Del Sol | |
|
1501 Fruitvale Ave Oakland CA 94601-2322 | |
| (510) 535-6200 | |
| (510) 535-4167 |
| Full Name | Casa Del Sol |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1501 Fruitvale Ave, Oakland, California |
| Authorized Official Name and Position | Chela Shanti Richheimer (BEHAVIORAL CLINICIAN 1) |
| Authorized Official Contact | 5105356200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Casa Del Sol 1501 Fruitvale Ave Oakland CA 94601-2322 Ph: (510) 535-6200 | Casa Del Sol 1501 Fruitvale Ave Oakland CA 94601-2322 Ph: (510) 535-6200 |
| NPI Number | 1275073959 |
|---|---|
| Provider Enumeration Date | 03/01/2017 |
| Last Update Date | 03/01/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275073959 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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