Provider Demographics
NPI:1952462541
Name:ROBERT M. WEBMAN MD INC
Entity Type:Organization
Organization Name:ROBERT M. WEBMAN MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:MARC
Authorized Official - Last Name:WEBMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-542-5800
Mailing Address - Street 1:4305 TORRANCE BLVD STE 406
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-4497
Mailing Address - Country:US
Mailing Address - Phone:310-542-5800
Mailing Address - Fax:310-542-5834
Practice Address - Street 1:4305 TORRANCE BLVD STE 406
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-4497
Practice Address - Country:US
Practice Address - Phone:310-542-5800
Practice Address - Fax:310-542-5834
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2011-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG39792207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G397920Medicaid
CAA92122Medicare UPIN