MEDICARE: MR. ROBERT JAMES ARMIJO B.A.

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	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1770726648
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ROBERT JAMES ARMIJO B.A.

Provider Business Mailing Address
First Line	:	13032 13TH ST
Second Line	:
City	:	CHINO
State	:	CA
Zip	:	91710-4361
Country	:	US
Telephone Number	:	909-548-1137
Fax Number	:

Provider Business Practice Location Address
First Line	:	10221 COMPTON AVE STE 203
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90002-2805
Country	:	US
Telephone Number	:	213-385-5100
Fax Number	:	323-566-1638

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

Provider Enumeration Date	:	04/08/2009
Last Update Date	:	04/12/2013

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