Provider Demographics
NPI:1790767770
Name:CASSLING, ROBERT JOHN (MD)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:JOHN
Last Name:CASSLING
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1624 W OLIVE AVE
Mailing Address - Street 2:SUITE F
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91506-2459
Mailing Address - Country:US
Mailing Address - Phone:818-843-2835
Mailing Address - Fax:818-843-3310
Practice Address - Street 1:1624 W OLIVE AVE
Practice Address - Street 2:SUITE F
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91506-2459
Practice Address - Country:US
Practice Address - Phone:818-843-2835
Practice Address - Fax:818-843-3310
Is Sole Proprietor?:No
Enumeration Date:2005-11-16
Last Update Date:2008-10-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG430662085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWG43066DMedicare PIN
CAA49213Medicare UPIN