Provider Demographics
NPI:1124393848
Name:ROBERT EITCHES, M.D., INC
Entity Type:Organization
Organization Name:ROBERT EITCHES, M.D., INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:EITCHES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-657-4600
Mailing Address - Street 1:8631 W 3RD ST
Mailing Address - Street 2:SUITE 925E
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-5901
Mailing Address - Country:US
Mailing Address - Phone:310-657-4600
Mailing Address - Fax:310-657-6020
Practice Address - Street 1:8631 W 3RD ST
Practice Address - Street 2:SUITE 925E
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-5901
Practice Address - Country:US
Practice Address - Phone:310-657-4600
Practice Address - Fax:310-657-6020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-13
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty