Provider Demographics
NPI:1285892109
Name:EPPELE, CLAUDIA (MD)
Entity type:Individual
Prefix:MRS
First Name:CLAUDIA
Middle Name:
Last Name:EPPELE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CLAUDIA
Other - Middle Name:
Other - Last Name:GONZALEZ-RUIZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2900 BRISTOL ST STE B205
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92626-5948
Mailing Address - Country:US
Mailing Address - Phone:855-867-5551
Mailing Address - Fax:855-867-5551
Practice Address - Street 1:2900 BRISTOL ST STE B205
Practice Address - Street 2:
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92626-5948
Practice Address - Country:US
Practice Address - Phone:855-867-5551
Practice Address - Fax:855-867-5551
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-28
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA519332084A0401X
CAA110633207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction MedicineGroup - Multi-Specialty