Peralta, Robert J
Peralta, Robert J is an sole proprietor health care provider with primary practice located at 491 30Th St Suite 103, Oakland CA 94609-3235. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Peralta, Robert J can be contacted via phone (510) 763-0881.Contact Information
Primary practice address
491 30Th St Suite 103
Oakland CA 94609-3235
Phone: (510) 763-0881
Fax: (510) 763-0907
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 35.095215 | Ohio |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 242440 | New York |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | TP122 | Kentucky |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 01068178A | Indiana |
Profile Details
| NPI number | 1588869143 |
|---|---|
| LBN Legal business name | Peralta, Robert J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 15th, 2007 |
| Last updated | Feb 11th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588869143 | NPPES |
| Ohio | Other | 000000655173 | BCBS |
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