Provider Demographics
NPI:1083964571
Name:COPELAND, TOYIA JANINE
Entity Type:Individual
Prefix:MISS
First Name:TOYIA
Middle Name:JANINE
Last Name:COPELAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:TOYIA
Other - Middle Name:JANINE
Other - Last Name:FRANKLIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1634 ALCATRAZ AVE
Mailing Address - Street 2:APT. A
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94703
Mailing Address - Country:US
Mailing Address - Phone:415-568-8072
Mailing Address - Fax:
Practice Address - Street 1:2500 FAIRMONT DRIVE
Practice Address - Street 2:
Practice Address - City:SAN LEANDRO
Practice Address - State:CA
Practice Address - Zip Code:94578
Practice Address - Country:US
Practice Address - Phone:510-667-3000
Practice Address - Fax:510-667-3005
Is Sole Proprietor?:No
Enumeration Date:2012-09-12
Last Update Date:2012-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program