Healthcare Provider Details

I. General information

NPI: 1114284312
Provider Name (Legal Business Name): ROOBAL SEKHON, D.O., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2012
Last Update Date: 01/29/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

925 YGNACIO VALLEY RD STE 205
WALNUT CREEK CA
94596-3875
US

IV. Provider business mailing address

PO BOX 2157
SUISUN CITY CA
94585-5157
US

V. Phone/Fax

Practice location:
  • Phone: 510-306-1990
  • Fax:
Mailing address:
  • Phone: 510-306-1990
  • Fax: 888-909-0116

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License Number20A10824
License Number StateCA

VIII. Authorized Official

Name: ROOBAL SINGH SEKHON
Title or Position: PRESIDENT
Credential: D.O.
Phone: 925-322-3770