Provider Demographics
NPI:1407891278
Name:OCEGUERA, LILIA R (MD)
Entity type:Individual
Prefix:DR
First Name:LILIA
Middle Name:R
Last Name:OCEGUERA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2999 REGENT ST SUITE 325
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94705
Mailing Address - Country:US
Mailing Address - Phone:925-438-1100
Mailing Address - Fax:925-254-1054
Practice Address - Street 1:2999 REGENT ST SUITE 325
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94705
Practice Address - Country:US
Practice Address - Phone:925-438-1100
Practice Address - Fax:925-254-1054
Is Sole Proprietor?:No
Enumeration Date:2006-06-17
Last Update Date:2025-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA62438208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH49714Medicare UPIN