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Individual
DR. ROBERT E SOPER
Active
Individual
DR. ROBERT E SOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G59380
CA
2084P0804X
Child & Adolescent Psychiatry Physician
G59380
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9534922
MEDI-CAL
CA
01
—
G59380
MEDICAL BOARD
CA
Enumeration date
03/01/2007
Last updated
03/07/2023
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