Healthcare Provider Details

I. General information

NPI: 1144663592
Provider Name (Legal Business Name): PIOTR SZCZEPAN SOWA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: PIOTR SZCZEPAN WROBEL M.D.

II. Dates (important events)

Enumeration Date: 04/15/2013
Last Update Date: 02/27/2026
Certification Date: 02/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 CITY BLVD W STE 400
ORANGE CA
92868-2994
US

IV. Provider business mailing address

333 CITY BLVD W STE 400
ORANGE CA
92868-2994
US

V. Phone/Fax

Practice location:
  • Phone: 714-456-6745
  • Fax:
Mailing address:
  • Phone: 714-456-6745
  • Fax: 714-456-7753

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number25MA11104900
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD456062
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number25MA11104900
License Number StateNJ
# 4
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number147966
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: