Provider Demographics
NPI:1831465814
Name:ARKADY OREPER, MD, A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:ARKADY OREPER, MD, A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:ARKADY
Authorized Official - Middle Name:
Authorized Official - Last Name:OREPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-352-1122
Mailing Address - Street 1:13847 E 14TH ST
Mailing Address - Street 2:204
Mailing Address - City:SAN LEANDRO
Mailing Address - State:CA
Mailing Address - Zip Code:94578-2632
Mailing Address - Country:US
Mailing Address - Phone:510-352-1122
Mailing Address - Fax:510-352-1193
Practice Address - Street 1:13847 E 14TH ST
Practice Address - Street 2:204
Practice Address - City:SAN LEANDRO
Practice Address - State:CA
Practice Address - Zip Code:94578-2632
Practice Address - Country:US
Practice Address - Phone:510-352-1122
Practice Address - Fax:510-352-1193
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-24
Last Update Date:2013-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A629740Medicaid