Healthcare Provider Details

I. General information

NPI: 1538386982
Provider Name (Legal Business Name): ROBERT E SCHLENKER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/19/2007
Last Update Date: 12/07/2020
Certification Date: 12/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 N ROBERTSON BLVD
BEVERLY HILLS CA
90211-2103
US

IV. Provider business mailing address

11870 SANTA MONICA BLVD SUITE 106-549
LOS ANGELES CA
90025-2276
US

V. Phone/Fax

Practice location:
  • Phone: 310-435-7329
  • Fax: 310-388-1771
Mailing address:
  • Phone: 310-435-7329
  • Fax: 310-388-1771

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberA124905
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: