Healthcare Provider Details

I. General information

NPI: 1710921457
Provider Name (Legal Business Name): ROBERT FRANK KOPEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2006
Last Update Date: 08/29/2024
Certification Date: 08/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ONE HOAG DRIVE DEPARTMENT OF ANESTHESIOLOGY
NEWPORT BEACH CA
92663-4162
US

IV. Provider business mailing address

ONE HOAG DRIVE DEPARTMENT OF ANESTHESIOLOGY
NEWPORT BEACH CA
92663-4162
US

V. Phone/Fax

Practice location:
  • Phone: 949-764-6954
  • Fax: 949-764-5674
Mailing address:
  • Phone: 949-764-6954
  • Fax: 949-764-5674

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberA41029
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License NumberA41029
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: