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NPI Code Detail

MEDICARE: ROBERT ROSENBLOOM M.D.

MEDICARE: ROBERT ROSENBLOOM M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine PhysicianA70105CA

General Provider Information

NPI Number : 1235137712
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT ROSENBLOOM M.D.
Provider Business Mailing Address
First Line : PO BOX 5101
Second Line :
City : CULVER CITY
State : CA
Zip : 90231-5101
Country : US
Telephone Number : 310-480-8624
Fax Number :
Provider Business Practice Location Address
First Line : 3828 DELMAS TER
Second Line :
City : CULVER CITY
State : CA
Zip : 90232-2713
Country : US
Telephone Number : 310-202-4745
Fax Number : 310-202-4745
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2005
Last Update Date : 07/08/2007

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