Provider Demographics
NPI:1588623979
Name:ZAMORE, ROBERT ANDREW (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:ANDREW
Last Name:ZAMORE
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2330 UTAH AVE
Mailing Address - Street 2:RADIOLOGY PARTNERS
Mailing Address - City:EL SEGUNDO
Mailing Address - State:CA
Mailing Address - Zip Code:90245
Mailing Address - Country:US
Mailing Address - Phone:424-290-8004
Mailing Address - Fax:
Practice Address - Street 1:2330 UTAH AVE
Practice Address - Street 2:RADIOLOGY PARTNERS
Practice Address - City:EL SEGUNDO
Practice Address - State:CA
Practice Address - Zip Code:90245
Practice Address - Country:US
Practice Address - Phone:424-290-8004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-22
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME897102085N0700X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL118776Medicaid
FL274576300Medicaid
FLP00382939OtherRR MEDICARE
AL118776Medicaid
FLU8375VMedicare PIN
FLI63495Medicare UPIN
FLP00347655Medicare PIN
FL274576300Medicaid
FLU8375WMedicare PIN
FLP00446886Medicare PIN
FLP00344569Medicare PIN