Healthcare Provider Details

I. General information

NPI: 1699004101
Provider Name (Legal Business Name): ROBERT FRANKLIN FISCHER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2009
Last Update Date: 11/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5855 TOPANGA CANYON BLVD 320
WOODLAND HILLS CA
91367-4627
US

IV. Provider business mailing address

3080 EUCALYPTUS HILL RD
SANTA BARBARA CA
93108-1835
US

V. Phone/Fax

Practice location:
  • Phone: 818-610-3956
  • Fax: 818-610-3912
Mailing address:
  • Phone: 805-886-4131
  • Fax: 818-610-3912

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License NumberC36244
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberC36244
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: