Healthcare Provider Details

I. General information

NPI: 1376791152
Provider Name (Legal Business Name): ALEXANDER OPARIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2008
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2041 EAST ST STE 1198
CONCORD CA
94520-2126
US

IV. Provider business mailing address

2041 EAST ST STE 1198
CONCORD CA
94520-2126
US

V. Phone/Fax

Practice location:
  • Phone: 925-322-1834
  • Fax: 925-567-9321
Mailing address:
  • Phone: 925-322-1834
  • Fax: 925-567-9321

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA111603
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: