Healthcare Provider Details

I. General information

NPI: 1063525244
Provider Name (Legal Business Name): MICHAEL ALBERT OBERLANDER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2006
Last Update Date: 02/28/2025
Certification Date: 02/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3717 MT DIABLO BLVD STE 100
LAFAYETTE CA
94549-3547
US

IV. Provider business mailing address

3717 MT DIABLO BLVD STE 100
LAFAYETTE CA
94549-3547
US

V. Phone/Fax

Practice location:
  • Phone: 925-284-5300
  • Fax: 925-284-5381
Mailing address:
  • Phone: 925-284-5300
  • Fax: 925-284-5381

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License NumberG65683
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License NumberG65683
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberG65683
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: