Healthcare Provider Details

I. General information

NPI: 1932118262
Provider Name (Legal Business Name): ROBERT MICHAEL HUTCHMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2006
Last Update Date: 09/12/2025
Certification Date: 01/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

930 W MAIN ST
BARSTOW CA
92311-2654
US

IV. Provider business mailing address

517 E WILSON AVE STE 103B
GLENDALE CA
91206-4376
US

V. Phone/Fax

Practice location:
  • Phone: 747-215-6068
  • Fax: 747-215-6296
Mailing address:
  • Phone: 747-215-6068
  • Fax: 747-215-6296

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberA85762
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: