Healthcare Provider Details

I. General information

NPI: 1184718447
Provider Name (Legal Business Name): ARTHUR D ZEPEDA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 04/30/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 E VALENCIA MESA DR SUITE 310
FULLERTON CA
92835-3813
US

IV. Provider business mailing address

279 IMPERIAL HWY SUITE 730
FULLERTON CA
92835-1041
US

V. Phone/Fax

Practice location:
  • Phone: 714-446-5200
  • Fax: 714-446-5292
Mailing address:
  • Phone: 714-449-4841
  • Fax: 714-449-4956

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number000000A81844
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License NumberA81844
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: