MEDICARE: ROBERT O LINDSEY 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
1	2085R0202X	Diagnostic Radiology Physician	G77792	CA

General Provider Information

NPI Number	:	1578524468
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT O LINDSEY M.D.

Provider Business Mailing Address
First Line	:	4200 E PACIFIC COAST HWY
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90804-2112
Country	:	US
Telephone Number	:	562-498-6322
Fax Number	:

Provider Business Practice Location Address
First Line	:	4200 E PACIFIC COAST HWY
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90804-2112
Country	:	US
Telephone Number	:	562-498-6322
Fax Number	:

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

Provider Enumeration Date	:	03/30/2006
Last Update Date	:	11/27/2007

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