Provider Demographics
NPI:1659395036
Name:CSEPANYI, EMERICO (MD)
Entity Type:Individual
Prefix:DR
First Name:EMERICO
Middle Name:
Last Name:CSEPANYI
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 1682
Mailing Address - Street 2:
Mailing Address - City:BELLFLOWER
Mailing Address - State:CA
Mailing Address - Zip Code:90707-1682
Mailing Address - Country:US
Mailing Address - Phone:562-229-9452
Mailing Address - Fax:562-920-4642
Practice Address - Street 1:16510 BLOOMFIELD AVE
Practice Address - Street 2:
Practice Address - City:CERRITOS
Practice Address - State:CA
Practice Address - Zip Code:90703-2115
Practice Address - Country:US
Practice Address - Phone:562-229-0902
Practice Address - Fax:562-229-0952
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA42053207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA080179415OtherMEDICARE RAILROAD
CA00A420530Medicaid
CA00A420530OtherBLUE SHIELD
CA080179415OtherMEDICARE RAILROAD
CA00A420530Medicaid