Provider Demographics
NPI:1023382686
Name:PASNAU, ROBERT OTTUS (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:OTTUS
Last Name:PASNAU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:760 WESTWOOD PLAZA
Mailing Address - Street 2:SUITE C8-202
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90024-1759
Mailing Address - Country:US
Mailing Address - Phone:310-825-0330
Mailing Address - Fax:310-472-7407
Practice Address - Street 1:760 WESTWOOD PLAZA
Practice Address - Street 2:SUITE C8-202
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90024-1759
Practice Address - Country:US
Practice Address - Phone:310-825-0330
Practice Address - Fax:310-472-7407
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-29
Last Update Date:2012-02-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG63952084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry