Provider Demographics
NPI:1144488636
Name:EPSTEIN, MICHAEL TZVI (MD)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:TZVI
Last Name:EPSTEIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5537 GLENRICH DR
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30338-3359
Mailing Address - Country:US
Mailing Address - Phone:770-815-2350
Mailing Address - Fax:404-257-5904
Practice Address - Street 1:2085 RUSTIN AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92507-2498
Practice Address - Country:US
Practice Address - Phone:951-509-8200
Practice Address - Fax:951-358-6622
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-30
Last Update Date:2017-12-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA792652084P0804X
CAA1307172084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry