Provider Demographics
NPI:1073714853
Name:ESTRADA, ROBERT RICHARD (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:RICHARD
Last Name:ESTRADA
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:4800 OAK GROVE DR
Mailing Address - Street 2:MS 310-202
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91109-8001
Mailing Address - Country:US
Mailing Address - Phone:818-354-5680
Mailing Address - Fax:818-393-4963
Practice Address - Street 1:4800 OAK GROVE DR
Practice Address - Street 2:MS 310-202
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91109-8001
Practice Address - Country:US
Practice Address - Phone:818-354-5680
Practice Address - Fax:818-393-4963
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG549192083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine