Provider Demographics
NPI:1578838215
Name:VENN, CLAUDIA (CLAUDIA VENN)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:
Last Name:VENN
Suffix:
Gender:F
Credentials:CLAUDIA VENN
Other - Prefix:
Other - First Name:CLAUDIA
Other - Middle Name:
Other - Last Name:VENN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LAC
Mailing Address - Street 1:2820 7TH ST
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94710-2703
Mailing Address - Country:US
Mailing Address - Phone:415-823-2367
Mailing Address - Fax:
Practice Address - Street 1:376 SANTA CLARA AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94610-2628
Practice Address - Country:US
Practice Address - Phone:415-823-2367
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-13
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA4334171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist