Individual provider · NPI-1
Raoul Alexis III
Rehabilitation Practitioner · Oakland, CA
NPI number1417018086
StatusActive
Last updated in NPPESSep 17, 2025
Details
- NPI
- 1417018086
- Entity type
- Individual (NPI-1)
- Name
- Mr. Raoul Alexis III
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 13, 2006
- Certification date
- Sep 17, 2025
- Last updated
- Sep 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | CA | Yes |
Practice location
1625 Filbert StOakland, CA 94607-2890
Phone 707-342-2595
Mailing address
39 Darlington PlVallejo, CA 94591-4300
Phone 707-558-1600 · Fax 707-558-1606
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