| Lighthouse Community Charter School | |
|
444 Hegenberger Rd Oakland CA 94621-1418 | |
| (510) 562-8801 | |
| (510) 271-8803 |
| Full Name | Lighthouse Community Charter School |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 444 Hegenberger Rd, Oakland, California |
| Authorized Official Name and Position | Scott Osborn (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 5105200943 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Community Charter School 2275 Arlington Dr San Leandro CA 94578-1132 Ph: (510) 654-4004 | Lighthouse Community Charter School 444 Hegenberger Rd Oakland CA 94621-1418 Ph: (510) 562-8801 |
| NPI Number | 1457608283 |
|---|---|
| Provider Enumeration Date | 08/10/2012 |
| Last Update Date | 01/04/2023 |
| Certification Date | 01/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457608283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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