Provider Demographics
NPI:1447389085
Name:PALLAS, ROBERT SHELDON (MD)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:SHELDON
Last Name:PALLAS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1138 PALO VERDE AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90815-4664
Mailing Address - Country:US
Mailing Address - Phone:310-313-3161
Mailing Address - Fax:310-313-3172
Practice Address - Street 1:1138 PALO VERDE AVE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90815-4664
Practice Address - Country:US
Practice Address - Phone:310-313-3161
Practice Address - Fax:310-313-3172
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2013-02-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA32895208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice