MEDICARE: ROBERT I FOX 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
1	207R00000X	Internal Medicine Physician	G32029	CA

General Provider Information

NPI Number	:	1740305432
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT I FOX MD

Provider Business Mailing Address
First Line	:	9850 GENESEE AVE
Second Line	:	SUITE 910
City	:	LA JOLLA
State	:	CA
Zip	:	92037-1224
Country	:	US
Telephone Number	:	858-457-2023
Fax Number	:	858-457-2721

Provider Business Practice Location Address
First Line	:	4206 CAMINITO CASSIS
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92122-1977
Country	:	US
Telephone Number	:	858-945-1064
Fax Number	:	619-615-2317

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

Provider Enumeration Date	:	03/20/2007
Last Update Date	:	10/13/2023

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