Provider Demographics
NPI:1215038765
Name:AUERBACH, ARTHUR M (MD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:M
Last Name:AUERBACH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2757
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94602-0057
Mailing Address - Country:US
Mailing Address - Phone:510-834-7700
Mailing Address - Fax:510-834-7703
Practice Address - Street 1:835 AZALEA CT
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:CA
Practice Address - Zip Code:95648-8314
Practice Address - Country:US
Practice Address - Phone:510-834-7700
Practice Address - Fax:510-834-7703
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2012-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG8588174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG8588OtherMEDICAL LICENSE