Provider Demographics
NPI:1457441545
Name:HEPPS, ROBERT B (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:B
Last Name:HEPPS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3471 CRANE WAY
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94602-2638
Mailing Address - Country:US
Mailing Address - Phone:510-530-8357
Mailing Address - Fax:510-530-3421
Practice Address - Street 1:1515 YGNACIO VALLEY RD
Practice Address - Street 2:SUITE F
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-3063
Practice Address - Country:US
Practice Address - Phone:925-938-9673
Practice Address - Fax:925-938-9559
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG1669202084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA39872Medicare UPIN
CA00G166920Medicare ID - Type UnspecifiedLICENSE