Provider Demographics
NPI:1184718447
Name:ZEPEDA, ARTHUR D (MD)
Entity type:Individual
Prefix:
First Name:ARTHUR D
Middle Name:
Last Name:ZEPEDA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:279 IMPERIAL HWY
Mailing Address - Street 2:SUITE 730
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92835-1041
Mailing Address - Country:US
Mailing Address - Phone:714-449-4841
Mailing Address - Fax:714-449-4956
Practice Address - Street 1:100 E VALENCIA MESA DR
Practice Address - Street 2:SUITE 310
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92835-3813
Practice Address - Country:US
Practice Address - Phone:714-446-5200
Practice Address - Fax:714-446-5292
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2013-04-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA000000A81844207L00000X
CAA81844208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CABJ719ZMedicare PIN