MEDICARE: MR. ROBERT WILLIAM SEARS MD

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	208000000X	Pediatrics Physician	A60936	CA

General Provider Information

NPI Number	:	1922102094
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ROBERT WILLIAM SEARS MD

Provider Business Mailing Address
First Line	:	26933 CAMINO DE ESTRELLA
Second Line	:	SUITE #A
City	:	CAPISTRANO BEACH
State	:	CA
Zip	:	92624
Country	:	US
Telephone Number	:	949-493-5437
Fax Number	:

Provider Business Practice Location Address
First Line	:	26933 CAMINO DE ESTRELLA
Second Line	:	SUITE #A
City	:	CAPISTRANO BEACH
State	:	CA
Zip	:	92624
Country	:	US
Telephone Number	:	949-493-5437
Fax Number	:

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

Provider Enumeration Date	:	09/11/2006
Last Update Date	:	10/27/2010

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