Provider Demographics
NPI:1275785974
Name:O'BRIEN, JAMES E JR (MD)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:E
Last Name:O'BRIEN
Suffix:JR
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 1:10427 SAN SEVAINE WAY
Mailing Address - Street 2:SUITE H
Mailing Address - City:MIRA LOMA
Mailing Address - State:CA
Mailing Address - Zip Code:91752-1151
Mailing Address - Country:US
Mailing Address - Phone:951-360-0997
Mailing Address - Fax:951-361-1394
Practice Address - Street 1:10427 SAN SEVAINE WAY
Practice Address - Street 2:SUITE H
Practice Address - City:MIRA LOMA
Practice Address - State:CA
Practice Address - Zip Code:91752-1151
Practice Address - Country:US
Practice Address - Phone:951-360-0997
Practice Address - Fax:951-361-1394
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-14
Last Update Date:2008-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG507332084F0202X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084F0202XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyForensic Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry