Provider Demographics
NPI:1942049770
Name:CAJIGAL, ATHINA
Entity type:Individual
Prefix:
First Name:ATHINA
Middle Name:
Last Name:CAJIGAL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1151 HARBOR BAY PKWY STE 101
Mailing Address - Street 2:
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94502-6590
Mailing Address - Country:US
Mailing Address - Phone:925-437-3251
Mailing Address - Fax:
Practice Address - Street 1:1151 HARBOR BAY PKWY STE 101
Practice Address - Street 2:
Practice Address - City:ALAMEDA
Practice Address - State:CA
Practice Address - Zip Code:94502-6590
Practice Address - Country:US
Practice Address - Phone:510-328-7400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-21
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA014700203251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health