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NPI Code Detail

MEDICARE: MR. ROBERT O NUTTING MD

MEDICARE: MR. ROBERT O NUTTING 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
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianC24356CA

General Provider Information

NPI Number : 1407853062
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ROBERT O NUTTING MD
Provider Business Mailing Address
First Line : 2300 THE STRAND
Second Line :
City : MANHATTAN BEACH
State : CA
Zip : 90266-4318
Country : US
Telephone Number : 310-545-0538
Fax Number : 310-546-4278
Provider Business Practice Location Address
First Line : 1246 W 155TH ST
Second Line :
City : GARDENA
State : CA
Zip : 90247-4011
Country : US
Telephone Number : 310-768-2255
Fax Number : 310-323-0914
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2005
Last Update Date : 04/23/2014

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