Organization · NPI-2

1 Direction, LLC

Clinic/Center, Student Health · Oakland, CA

NPI number1760181283
StatusActive
Last updated in NPPESFeb 23, 2023

Details

NPI
1760181283
Entity type
Organization (NPI-2)
Legal business name
1 Direction, LLC
Organization subpart
No
Enumeration date
Feb 23, 2023
Certification date
Feb 23, 2023
Last updated
Feb 23, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QS1000X Clinic/Center, Student Health––Yes

Practice location

4351 Broadway
Oakland, CA 94611-4612

Phone 510-704-3509

Mailing address

12523 Limonite Ave Ste 440-192
Eastvale, CA 91752-3665

Phone 510-815-5108

Authorized official

Roderick Figgs
Ceo
5108155108

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