Provider Demographics
NPI:1841212669
Name:OPSVIG, PAUL KENT (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:KENT
Last Name:OPSVIG
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Gender:M
Credentials:MD
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Mailing Address - Street 1:7200 BANCROFT AVE
Mailing Address - Street 2:OAKLAND CHILDRENS SERVICES STE 125D
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94605
Mailing Address - Country:US
Mailing Address - Phone:510-777-3892
Mailing Address - Fax:510-777-3880
Practice Address - Street 1:7200 BANCROFT AVE
Practice Address - Street 2:OAKLAND CHILDRENS SERVICES STE 125D
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94605
Practice Address - Country:US
Practice Address - Phone:510-777-3892
Practice Address - Fax:510-777-3880
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAA205382084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry