MEDICARE: ROBERT LOUIS BATTAN DDS

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
1	1223G0001X	General Practice Dentistry	DY033240	CA

General Provider Information

NPI Number	:	1265568794
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT LOUIS BATTAN DDS

Provider Business Mailing Address
First Line	:	7080 HOLLYWOOD BLVD
Second Line	:	SUITE 303
City	:	LOS ANGELES
State	:	CA
Zip	:	90028-6906
Country	:	US
Telephone Number	:	323-469-1935
Fax Number	:	323-469-1701

Provider Business Practice Location Address
First Line	:	7080 HOLLYWOOD BLVD
Second Line	:	SUITE 303
City	:	LOS ANGELES
State	:	CA
Zip	:	90028-6906
Country	:	US
Telephone Number	:	323-469-1935
Fax Number	:	323-469-1701

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/26/2007
Last Update Date	:	07/08/2007

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