Healthcare Provider Details
I. General information
NPI: 1427261528
Provider Name (Legal Business Name): ROOBAL S SEKHON D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 05/07/2007
Last Update Date: 11/23/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2311 LOVERIDGE RD
PITTSBURG CA
94565-5117
US
IV. Provider business mailing address
1547 PALOS VERDES MALL STE 238
WALNUT CREEK CA
94597-2228
US
V. Phone/Fax
- Phone: 925-431-2629
- Fax:
- Phone: 925-431-2600
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | 20A10824 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084S0012X |
| Taxonomy | Sleep Medicine (Psychiatry & Neurology) Physician |
| License Number | 20A10824 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: