Provider Demographics
NPI:1023325545
Name:OORBECK, DAVID R (L AC)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:R
Last Name:OORBECK
Suffix:
Gender:M
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:731 OAKLAND AVE. #5
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94611
Mailing Address - Country:US
Mailing Address - Phone:510-655-5603
Mailing Address - Fax:510-655-5603
Practice Address - Street 1:703 MARKET ST.
Practice Address - Street 2:SUITE 514
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103
Practice Address - Country:US
Practice Address - Phone:510-655-5603
Practice Address - Fax:510-655-5603
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-03
Last Update Date:2016-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13549171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist