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NPI Code Detail

MEDICARE: MR. ROBERT GENE STRONG

MEDICARE: MR. ROBERT GENE STRONG
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
1103T00000XPsychologist
2103T00000XPsychologist23710CA

General Provider Information

NPI Number : 1649397688
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ROBERT GENE STRONG
Provider Business Mailing Address
First Line : 545 S ST ANDREWS PL APT 4
Second Line :
City : LOS ANGELES
State : CA
Zip : 90020-4407
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1548 FAIR PARK AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90041-2238
Country : US
Telephone Number : 626-437-9960
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2007
Last Update Date : 05/23/2025

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Directions to “ MR. ROBERT GENE STRONG ” Practice Location

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