Healthcare Provider Details

I. General information

NPI: 1962435396
Provider Name (Legal Business Name): STEVEN OPPENHEIMER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20103 LAKE CHABOT RD
CASTRO VALLEY CA
94546-5305
US

IV. Provider business mailing address

PO BOX 2757
CASTRO VALLEY CA
94546-0757
US

V. Phone/Fax

Practice location:
  • Phone: 510-566-8331
  • Fax:
Mailing address:
  • Phone: 510-582-3577
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberG13434
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: