Provider Demographics
NPI:1396114666
Name:AMERICAN HEALTHCARE PROFESSIONAL GROUP
Entity type:Organization
Organization Name:AMERICAN HEALTHCARE PROFESSIONAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:IRENEE
Authorized Official - Middle Name:
Authorized Official - Last Name:PAULE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-415-2743
Mailing Address - Street 1:11700 DUBLIN BLVD STE 130
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:CA
Mailing Address - Zip Code:94568-2824
Mailing Address - Country:US
Mailing Address - Phone:925-361-8506
Mailing Address - Fax:925-361-8739
Practice Address - Street 1:11700 DUBLIN BLVD STE 130
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:CA
Practice Address - Zip Code:94568-2824
Practice Address - Country:US
Practice Address - Phone:925-361-8506
Practice Address - Fax:925-361-8739
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-17
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health