=====================================================
General NPI Number Information
=====================================================
NPI Number | 1629031521
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ROBERT L USLANDER MD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/11/2006
-----------------------------------------------------
Last Update Date | 12/23/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 630 1ST AVE
-----------------------------------------------------
City | SAN DIEGO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92101-6976
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 858-925-7554
-----------------------------------------------------
Fax | 858-281-4977
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 630 1ST AVE
-----------------------------------------------------
City | SAN DIEGO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92101-6976
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 209-770-2020
-----------------------------------------------------
Fax | 858-281-4977
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207PH0002X
-----------------------------------------------------
Taxonomy Name | Hospice and Palliative Medicine (Emergency Medicine) Physician
-----------------------------------------------------
License Number | G84383
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------