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NPI Code Detail

MEDICARE: MARTIN KOEPPEL

MEDICARE: MARTIN KOEPPEL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianG20968CA

General Provider Information

NPI Number : 1649340654
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTIN KOEPPEL
Provider Business Mailing Address
First Line : 100 38TH ST
Second Line :
City : RICHMOND
State : CA
Zip : 94805-2207
Country : US
Telephone Number : 510-231-1261
Fax Number : 510-231-8551
Provider Business Practice Location Address
First Line : 100 38TH ST
Second Line :
City : RICHMOND
State : CA
Zip : 94805-2207
Country : US
Telephone Number : 510-231-1261
Fax Number : 510-231-8551
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2006
Last Update Date : 11/18/2010

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Directions to “ MARTIN KOEPPEL ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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