Provider Demographics
NPI:1386522951
Name:ONE LOVE CENTER FOR HEALTH
Entity type:Organization
Organization Name:ONE LOVE CENTER FOR HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SAMSON
Authorized Official - Middle Name:
Authorized Official - Last Name:MAEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-500-5224
Mailing Address - Street 1:1305 FRANKLIN ST STE 310
Mailing Address - Street 2:310
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94612-3222
Mailing Address - Country:US
Mailing Address - Phone:510-500-5224
Mailing Address - Fax:
Practice Address - Street 1:1305 FRANKLIN ST STE 310
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94612-3222
Practice Address - Country:US
Practice Address - Phone:510-500-5224
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-22
Last Update Date:2025-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No251B00000XAgenciesCase Management