Provider Demographics
NPI:1801962360
Name:OPPENHEIM, WILLIAM (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:OPPENHEIM
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:PO BOX 56902
Mailing Address - Street 2:DAVID GEFFEN SCHOOL OF MEDICINE AT UCLA
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90095-0001
Mailing Address - Country:US
Mailing Address - Phone:310-206-6345
Mailing Address - Fax:310-206-0063
Practice Address - Street 1:10945 LE CONTE AVENUE
Practice Address - Street 2:RM 3355 UBBEROTH BLDG DEPARTMENT OF ORTHOPAEDIC SURGERY
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90095-6902
Practice Address - Country:US
Practice Address - Phone:310-206-6345
Practice Address - Fax:310-206-0063
Is Sole Proprietor?:No
Enumeration Date:2006-11-27
Last Update Date:2011-06-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG20568207XP3100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XP3100XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryPediatric Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G205680Medicaid
CAA33442Medicare UPIN
CAWG20568DMedicare ID - Type UnspecifiedMEDICARE PPIN #