Healthcare Provider Details

I. General information

NPI: 1346977832
Provider Name (Legal Business Name): OSCAR A CEPERO INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2022
Last Update Date: 08/04/2022
Certification Date: 08/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3903 WARING RD
OCEANSIDE CA
92056-4405
US

IV. Provider business mailing address

PO BOX 25033
SANTA ANA CA
92799-5033
US

V. Phone/Fax

Practice location:
  • Phone: 760-940-0997
  • Fax: 760-940-0407
Mailing address:
  • Phone: 714-347-1000
  • Fax: 714-347-1082

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. OSCAR A CEPERO
Title or Position: PRESIDENT
Credential: MD
Phone: 760-845-0012