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NPI Code Detail

MEDICARE: ROBERT MARTIN LANDAW MD

MEDICARE:   ROBERT MARTIN LANDAW  MD
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
1208000000XPediatrics PhysicianG9814CA

General Provider Information

NPI Number : 1306988977
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT MARTIN LANDAW MD
Provider Business Mailing Address
First Line : 11633 SAN VICENTE BLVD
Second Line : #206
City : LA
State : CA
Zip : 90049-6513
Country : US
Telephone Number : 310-826-5513
Fax Number : 310-820-1606
Provider Business Practice Location Address
First Line : 11633 SAN VICENTE BLVD
Second Line : #206
City : LA
State : CA
Zip : 90049-6513
Country : US
Telephone Number : 310-826-5513
Fax Number : 310-820-1606
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2007
Last Update Date : 07/08/2007

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Directions to “ ROBERT MARTIN LANDAW MD” Practice Location

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