Provider Demographics
NPI:1003972316
Name:SALTZMAN, ROBERT L (MD INC)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:L
Last Name:SALTZMAN
Suffix:
Gender:M
Credentials:MD INC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9400 BRIGHTON WAY
Mailing Address - Street 2:SUITE #410
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-4711
Mailing Address - Country:US
Mailing Address - Phone:310-550-8028
Mailing Address - Fax:310-550-8114
Practice Address - Street 1:1386 AVENIDA DE CORTEZ
Practice Address - Street 2:
Practice Address - City:PACIFIC PALISADES
Practice Address - State:CA
Practice Address - Zip Code:90272-2123
Practice Address - Country:US
Practice Address - Phone:310-550-8028
Practice Address - Fax:310-550-8114
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2011-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG23450207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA90823Medicare UPIN