Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | G65683 | CA |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | G65683 | CA |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | G65683 | CA |
NPI | 1063525244 |
---|---|
Provider Name | Michael Albert Oberlander |
First Address | Concord, CA 94520 |
Second Address | Concord, CA 94520 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2006 |
Last Update Date | 12/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200031045 | RAILROAD MEDICARE (01) | |
E88478 | (02) |