| 1 Direction, LLC | |
|
4351 Broadway Oakland CA 94611-4612 | |
| (510) 704-3509 | |
| Not Available |
| Full Name | 1 Direction, LLC |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 4351 Broadway, Oakland, California |
| Authorized Official Name and Position | Roderick Figgs (CEO) |
| Authorized Official Contact | 5108155108 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 1 Direction, LLC 12523 Limonite Ave Ste 440-192 Eastvale CA 91752-3665 Ph: (510) 815-5108 | 1 Direction, LLC 4351 Broadway Oakland CA 94611-4612 Ph: (510) 704-3509 |
| NPI Number | 1760181283 |
|---|---|
| Provider Enumeration Date | 02/23/2023 |
| Last Update Date | 02/23/2023 |
| Certification Date | 02/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760181283 | NPI | - | NPPES |
| A9637309 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | () | Primary |
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