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Jorge Simon Siopack, MD
Obstetrics & Gynecology Physician in Oakland, California
NPI 1891899423

Jorge Simon Siopack is a Obstetrics & Gynecology Physician based in Oakland, CA. Jorge Simon Siopack practices in Oakland, CA and has the professional credentials of MD. The NPI Number for Jorge Simon Siopack is 1891899423 and holds a License No. A62179 (California).

The current practice location address for Jorge Simon Siopack is 3451 E 12Th Street, Oakland, CA and can be reached out via phone at 510-535-3317 and via fax at 510-535-4248.

Location: 3451 E 12Th Street, Oakland, CA, 94601-2322
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891899423
Provider Name
Jorge Simon Siopack
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3451 E 12Th Street, Oakland, CA, 94601-2322
Phone Number
510-535-3317
Fax Number
510-535-4248
Provider Enumeration Date
09/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
HAP71021F 01 CA FPACT
ZZZ29799Z 01 CA MEDICARE PART B
55-1975 01 MEDICARE PART A
FHC71021F 05 CA
institution
Provider Business Practice Location Address Details
Address
3451 E 12Th Street
City
Oakland
State
California
Zip
94601
Phone Number
510-535-3317
Fax Number
510-535-4248
person
Provider Business Mailing Address Details
Address
3451 E 12Th Street
City
Oakland
State
California
Zip
94601
Phone Number
510-535-3317
Fax Number
510-535-4248
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
A62179 (California)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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