MEDICARE: ROBERT M TRICHTER 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
1	2084P0800X	Psychiatry Physician	A36041	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1629019468
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT M TRICHTER M.D.

Provider Business Mailing Address
First Line	:	PO BOX 34841
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90034-0841
Country	:	US
Telephone Number	:	310-280-9670
Fax Number	:	310-280-9675

Provider Business Practice Location Address
First Line	:	3831 HUGHES AVE
Second Line	:	#506
City	:	CULVER CITY
State	:	CA
Zip	:	90232-2751
Country	:	US
Telephone Number	:	310-280-9670
Fax Number	:	310-280-9675

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2006
Last Update Date	:	02/29/2012

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