Provider Demographics
NPI:1205879798
Name:VINETZ, ROBERT SHERMAN (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:SHERMAN
Last Name:VINETZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1300 N VERMONT AVE
Mailing Address - Street 2:SUITE 1002
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90027-6005
Mailing Address - Country:US
Mailing Address - Phone:323-953-7341
Mailing Address - Fax:323-953-6244
Practice Address - Street 1:184 BIMINI PL
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90004-5903
Practice Address - Country:US
Practice Address - Phone:213-387-2822
Practice Address - Fax:213-385-8482
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG21262208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics