Provider Demographics
NPI:1922043249
Name:NORIEGA, ROBERT JR (MD)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:
Last Name:NORIEGA
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2999 OAK ROAD
Mailing Address - Street 2:SUITE 290
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94597
Mailing Address - Country:US
Mailing Address - Phone:415-284-9400
Mailing Address - Fax:415-723-4700
Practice Address - Street 1:2999 OAK ROAD
Practice Address - Street 2:SUITE 290
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94597
Practice Address - Country:US
Practice Address - Phone:415-284-9400
Practice Address - Fax:415-723-4700
Is Sole Proprietor?:No
Enumeration Date:2006-06-19
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG65985207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine