Provider Demographics
NPI:1922271709
Name:HAMPTON, ROBERT LESTER III (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:LESTER
Last Name:HAMPTON
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:ROBERT
Other - Middle Name:
Other - Last Name:HAMPTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:7212 ORANGETHORPE AVE
Mailing Address - Street 2:SUITE 9 A
Mailing Address - City:BUENA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90621-3341
Mailing Address - Country:US
Mailing Address - Phone:714-449-1125
Mailing Address - Fax:714-562-8729
Practice Address - Street 1:615 W BAY AVE
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92661-1157
Practice Address - Country:US
Practice Address - Phone:949-500-6231
Practice Address - Fax:949-675-2569
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-11
Last Update Date:2012-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG476172084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry