Provider Demographics
NPI:1134196264
Name:OPREA, DRAGOS ALEXANDRU
Entity type:Individual
Prefix:
First Name:DRAGOS
Middle Name:ALEXANDRU
Last Name:OPREA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10317 BIRCHDALE AVE
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90241-2636
Mailing Address - Country:US
Mailing Address - Phone:562-861-7214
Mailing Address - Fax:562-861-7214
Practice Address - Street 1:10317 BIRCHDALE AVE
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241-2636
Practice Address - Country:US
Practice Address - Phone:562-861-7214
Practice Address - Fax:562-861-7214
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT26688225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWPT26688DOtherMEDICARE IDENTIFIER
CAP55656Medicare UPIN