Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CASSANDRA BROADWAY
Active Sole ProprietorPoint of Service · OAKLAND, CA
Registration Details
- NPI Number
- 1124724463
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 7, 2023 (3.2017456410752 yrs)
- Last Updated
- Feb 7, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
2280 SAN PABLO AVEOAKLAND, CA, 946121321Browse CA providers · Browse ZIP 94612
- Phone
- 5108074390
- Primary Specialty
-
Point of Service
305S00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.