MEDICARE: MR. ROBERT JOHN CASSLING 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	2085R0202X	Diagnostic Radiology Physician	G43066	CA

General Provider Information

NPI Number	:	1790767770
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ROBERT JOHN CASSLING M.D.

Provider Business Mailing Address
First Line	:	1624 W OLIVE AVE
Second Line	:	SUITE F
City	:	BURBANK
State	:	CA
Zip	:	91506-2459
Country	:	US
Telephone Number	:	818-843-2835
Fax Number	:	818-843-3310

Provider Business Practice Location Address
First Line	:	1624 W OLIVE AVE
Second Line	:	SUITE F
City	:	BURBANK
State	:	CA
Zip	:	91506-2459
Country	:	US
Telephone Number	:	818-843-2835
Fax Number	:	818-843-3310

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

Provider Enumeration Date	:	11/16/2005
Last Update Date	:	10/28/2008

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