Mr Jae Oh, is a
Community Health Worker based in Fremont, California. Mr Jae Oh is licensed to practice in * (Not Available) (license number ) and his current practice location is
40963 Grimmer Blvd, Fremont, California. He can be reached at his office (for appointments etc.) via phone at
(510) 759-2085.
NPI number for Mr Jae Oh is 1225739469 and his current mailing address is 390 40th St, Oakland, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1225739469.
Healthcare Provider's Profile
| Full Name | Mr Jae Oh |
|---|
| Gender | Male |
|---|
| Speciality | Community Health Worker |
|---|
| Location | 40963 Grimmer Blvd, Fremont, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1225739469
- Provider Enumeration Date: 03/14/2023
- Last Update Date: 04/07/2025
Medical Identifiers
Medical identifiers for Mr Jae Oh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225739469 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jae Oh is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Jae Oh,
390 40th St,
Oakland, CA 94609-2633
Ph: (510) 613-0330 | Mr Jae Oh,
40963 Grimmer Blvd,
Fremont, CA 94538-2846
Ph: (510) 759-2085 |
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