Organization
CALIFORNIA SPORTS AND ORTHOPAEDIC INSTITUTE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT A EPPLEY MD (OWNER)
(510) 704-7760
Entity
Organization
Contact information
Practice address
2999 REGENT ST, STE 225, BERKELEY, CA 94705-2146
(510) 704-7760
(510) 704-7765
Mailing address
2999 REGENT ST, STE 225, BERKELEY, CA 94705-2146
(510) 704-7760
(510) 704-7765
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
A67022
CA
207X00000X
Orthopaedic Surgery Physician
A78633
CA
207X00000X
Orthopaedic Surgery Physician
Primary
G63226
CA
208100000X
Physical Medicine & Rehabilitation Physician
PT21053
CA
208100000X
Physical Medicine & Rehabilitation Physician
PT25357
CA
363AS0400X
Surgical Physician Assistant
PA15294
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ64579Z
GROUP NUMBER
CA
Enumeration date
11/02/2006
Last updated
02/26/2013
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