ISIS SKIN & BODY
NPI 1295062164
Clinic/Center - Health Service in Oakland, CA

Active since November 12, 2009
419 30TH ST, SUITE D, OAKLAND, CA 94609(510) 451-4747(510) 451-0570 Get Directions Write a Review

NPPES record last updated: November 12, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Health Service

About ISIS SKIN & BODY

This page provides the complete NPI Profile along with additional information for Isis Skin & Body, a provider established in Oakland, California operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1295062164 assigned on November 2009. The practitioner's primary taxonomy code is 261QH0100X with license number A71602 (CA). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Isis Skin & Body. The authorized official of this NPI record is Dr. Noha Aboelata Md (President/medical Director)

NPI
1295062164 Verify this NPI
Provider Legal Name
ISIS HEALTH CENTER, INC
Other Organization Name
ISIS SKIN & BODY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
419 30TH ST SUITE D OAKLAND, CA 94609
Location Phone
(510) 451-4747
Location Fax
(510) 451-0570
Mailing Address
419 30TH ST SUITE D OAKLAND, CA 94609
Mailing Phone
(510) 451-4747
Mailing Fax
(510) 451-0570
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-12-2009
Last Update Date
11-12-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Health Service

Taxonomy Code
261QH0100X
Type
Ambulatory Health Care Facilities
License No.
A71602
License State
CA

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. NOHA ABOELATA MD

Authorized Official Title
PRESIDENT/MEDICAL DIRECTOR
Authorized Official Phone
(510) 451-4747

Reviews for ISIS SKIN & BODY

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Family Medicine
419 30TH ST, SUITE D
OAKLAND, CA 94609
Podiatrist
419 30TH ST, SUITE A
OAKLAND, CA 94609
Internal Medicine
419 30TH ST
OAKLAND, CA 94609
Podiatrist (Primary Podiatric Medicine)
419 30TH ST, SUITE A
OAKLAND, CA 94609

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295062164, enumerated as an "organization" on November 12, 2009.

The provider is located at 419 30TH ST SUITE D OAKLAND, CA 94609 and the phone number is (510) 451-4747.

Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.