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NPI Code Detail

MEDICARE: ROBERT S SANFORD M.D.

MEDICARE:   ROBERT S SANFORD  M.D.
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
1208800000XUrology PhysicianG18330CA

General Provider Information

NPI Number : 1578522785
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT S SANFORD M.D.
Provider Business Mailing Address
First Line : 8631 W 3RD ST
Second Line : STE 715 EAST
City : LOS ANGELES
State : CA
Zip : 90048-5901
Country : US
Telephone Number : 310-278-8330
Fax Number : 310-278-7595
Provider Business Practice Location Address
First Line : 8631 W 3RD ST
Second Line : STE 715 EAST
City : LOS ANGELES
State : CA
Zip : 90048-5901
Country : US
Telephone Number : 310-278-8330
Fax Number : 310-278-7595
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2006
Last Update Date : 10/03/2012

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Directions to “ ROBERT S SANFORD M.D.” Practice Location

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