Provider Demographics
NPI:1306036124
Name:ROBERT SKVERSKY, M.D., INC.
Entity Type:Organization
Organization Name:ROBERT SKVERSKY, M.D., INC.
Other - Org Name:WEIGHT NO MORE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:NMI
Authorized Official - Last Name:SKVERSKY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-645-2930
Mailing Address - Street 1:320 SUPERIOR AVE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92663-2716
Mailing Address - Country:US
Mailing Address - Phone:949-645-2930
Mailing Address - Fax:949-645-1059
Practice Address - Street 1:320 SUPERIOR AVE
Practice Address - Street 2:SUITE 210
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92663-2716
Practice Address - Country:US
Practice Address - Phone:949-645-2930
Practice Address - Fax:949-645-1059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-27
Last Update Date:2007-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG21450207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty