Healthcare Provider Details

I. General information

NPI: 1457441545
Provider Name (Legal Business Name): ROBERT B HEPPS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/13/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 YGNACIO VALLEY RD SUITE F
WALNUT CREEK CA
94598-3063
US

IV. Provider business mailing address

3471 CRANE WAY
OAKLAND CA
94602-2638
US

V. Phone/Fax

Practice location:
  • Phone: 925-938-9673
  • Fax: 925-938-9559
Mailing address:
  • Phone: 510-530-8357
  • Fax: 510-530-3421

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberG166920
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: