Healthcare Provider Details

I. General information

NPI: 1619918133
Provider Name (Legal Business Name): ROBERT ERICK PECHA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 03/27/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1580 CREEKSIDE DR STE 220
FOLSOM CA
95630-3888
US

IV. Provider business mailing address

1580 CREEKSIDE DR STE 220
FOLSOM CA
95630-3888
US

V. Phone/Fax

Practice location:
  • Phone: 530-644-6430
  • Fax: 530-622-3957
Mailing address:
  • Phone: 916-983-4444
  • Fax: 916-983-8563

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberG74570
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: