Provider Demographics
NPI:1760653653
Name:HAMILTON, ROBERT CURTIS (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:CURTIS
Last Name:HAMILTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2216 SANTA MONICA BLVD STE 204
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90404-2317
Mailing Address - Country:US
Mailing Address - Phone:310-264-2100
Mailing Address - Fax:310-264-2108
Practice Address - Street 1:2216 SANTA MONICA BLVD STE 204
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404-2317
Practice Address - Country:US
Practice Address - Phone:310-264-2100
Practice Address - Fax:310-264-2108
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-18
Last Update Date:2008-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG46186208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics