Sierra Autumn Black in Oakland - Student In An Organized Health Care Education/training Program

Sierra Autumn Black - NPI 1043377294

Sierra Autumn Black is a Student In An Organized Health Care Education/training Program in Oakland, California. Sierra Autumn Black practices all healthcare services and medical treatments related to Student In An Organized Health Care Education/training Program. The NPI Number for Sierra Autumn Black is 1043377294. The last update date is 2007-07-08.

Sierra Autumn Black's current location address is 3800 Coolidge Ave, Oakland, California. You can contact this provider via phone number 5107734700 and fax number 5105302047. The mailing address for Sierra Autumn Black is 3800 Coolidge Ave, Oakland, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Sierra Autumn Black
Address 3800 Coolidge Ave, Oakland, California
Phone Number 5107734700
Fax Number 5105302047
Sole Proprietor N
Credentials M.A.

NPI Number Detail

NPI Number 1043377294
Provider Enumeration Date 2007-01-03
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3800 Coolidge Ave
City Oakland
State California (CA)
Post Code 946023311
Phone Number 5107734700
Fax Number 5105302047

Provider's Primary Taxonomy Detail

Speciality Student In An Organized Health Care Education/training Program
Taxonomy 390200000X
Definition:
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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FAQs about Sierra Autumn Black

What is the unique identification code assigned to Sierra Autumn Black by the Centers for Medicare & Medicaid Services?

The Sierra Autumn Black has been issued the NPI (National Provider Identifier) 1043377294. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the Sierra Autumn Black located?

The Sierra Autumn Black is located at 3800 Coolidge Ave, Oakland, CA 946023311.

What is the Sierra Autumn Black's area of specialization and corresponding taxonomy classification?

The Sierra Autumn Black's specialty field is Student In An Organized Health Care Education/training Program, and it falls under the taxonomy code 390200000X, which categorizes healthcare providers based on their specialties.

On what date did the Sierra Autumn Black receive the assignment of its 1043377294 from the Centers for Medicare & Medicaid Services?

The Sierra Autumn Black was issued its 1043377294 by the Centers for Medicare & Medicaid Services on 2007-01-03.

When was the information related to Sierra Autumn Black most recently updated or refreshed?

The details pertaining to the Sierra Autumn Black, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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