Healthcare Provider Details

I. General information

NPI: 1942284559
Provider Name (Legal Business Name): MIHAIL OBROCEA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/06/2005
Last Update Date: 05/01/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28903 AVENUE PAINE
VALENCIA CA
91355-4169
US

IV. Provider business mailing address

28903 AVENUE PAINE
VALENCIA CA
91355-4169
US

V. Phone/Fax

Practice location:
  • Phone: 661-775-5365
  • Fax: 661-775-2080
Mailing address:
  • Phone: 661-775-5365
  • Fax: 661-775-2080

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberD0063020
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberD0063020
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: