Healthcare Provider Details

I. General information

NPI: 1487736328
Provider Name (Legal Business Name): ROBERT FRANKEL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: ROBERT BRUSON FRANKEL M.D.

II. Dates (important events)

Enumeration Date: 10/19/2006
Last Update Date: 10/22/2021
Certification Date: 10/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 E CHAPMAN AVE
ORANGE CA
92869-3204
US

IV. Provider business mailing address

2501 E CHAPMAN AVE
ORANGE CA
92869-3204
US

V. Phone/Fax

Practice location:
  • Phone: 714-633-1011
  • Fax: 714-633-4883
Mailing address:
  • Phone: 714-633-1011
  • Fax: 714-633-4883

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberG44461
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: