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NPI Code Detail

MEDICARE: ROBYN POTTORFF

MEDICARE:   ROBYN  POTTORFF
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1134083793
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBYN POTTORFF
Provider Business Mailing Address
First Line : 20501 VENTURA BLVD STE 170
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91364-6258
Country : US
Telephone Number : 818-657-0411
Fax Number : 818-657-0406
Provider Business Practice Location Address
First Line : 20501 VENTURA BLVD STE 170
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91364-6258
Country : US
Telephone Number : 818-657-0411
Fax Number : 818-657-0406
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2025
Last Update Date : 12/09/2025

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