Healthcare Provider Details

I. General information

NPI: 1871786012
Provider Name (Legal Business Name): ROBERT A. SCHMIT, M.D.,INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2007
Last Update Date: 11/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 BUGGY WHIP DR
ROLLING HILLS CA
90274-5008
US

IV. Provider business mailing address

17 BUGGY WHIP DR
ROLLING HILLS CA
90274-5008
US

V. Phone/Fax

Practice location:
  • Phone: 310-541-5361
  • Fax: 310-377-4171
Mailing address:
  • Phone: 310-541-5361
  • Fax: 310-377-4171

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberA15798
License Number StateCA

VIII. Authorized Official

Name: DR. ROBERT A SCHMIT
Title or Position: CEO
Credential: M.D.
Phone: 310-541-5361