Provider Demographics
NPI:1932145018
Name:HALPERIN, MICHAEL D (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:D
Last Name:HALPERIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1901 SKYCREST DR.
Mailing Address - Street 2:STE 2
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94595-1868
Mailing Address - Country:US
Mailing Address - Phone:925-525-9515
Mailing Address - Fax:925-482-0843
Practice Address - Street 1:433 ESTUDILLO AVE STE 205
Practice Address - Street 2:
Practice Address - City:SAN LEANDRO
Practice Address - State:CA
Practice Address - Zip Code:94577-4915
Practice Address - Country:US
Practice Address - Phone:510-351-8455
Practice Address - Fax:510-351-8566
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-20
Last Update Date:2020-01-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG22538207LP2900X, 207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA350733700OtherUS DEPT OF LABOR
CA050089394OtherRAILROAD MEDICARE
CA00G225380OtherBS OF CA