Provider Demographics
NPI:1578011805
Name:CARLTON, ROBERT MAURICE (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:MAURICE
Last Name:CARLTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 WARNER AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90024-5125
Mailing Address - Country:US
Mailing Address - Phone:818-674-1544
Mailing Address - Fax:310-475-8614
Practice Address - Street 1:1301 WARNER AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90024-5125
Practice Address - Country:US
Practice Address - Phone:818-674-1544
Practice Address - Fax:310-475-8614
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-15
Last Update Date:2016-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG18166207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology