Provider Demographics
NPI:1396743076
Name:POMPA, ROBERT BENJAMIN (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:BENJAMIN
Last Name:POMPA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:414 N CAMDEN DR
Mailing Address - Street 2:STE 650
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-4513
Mailing Address - Country:US
Mailing Address - Phone:310-278-1594
Mailing Address - Fax:310-278-4288
Practice Address - Street 1:414 N CAMDEN DR
Practice Address - Street 2:STE 650
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-4532
Practice Address - Country:US
Practice Address - Phone:310-278-1594
Practice Address - Fax:310-278-4288
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-07
Last Update Date:2010-06-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA36961208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
A28235Medicare UPIN
A36961Medicare ID - Type Unspecified