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Organization
ROBERT W. OBLATH, M.D., INC.
Active
Organization
ROBERT W. OBLATH, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE JACOBSON (BILLING MANAGER)
(818) 774-1771
Entity
Organization
Contact information
Practice address
18370 BURBANK BLVD, #607, TARZANA, CA 91356-2804
(818) 774-1771
(818) 704-4977
Mailing address
PO BOX 572913, TARZANA, CA 91357-2913
(818) 774-1771
(818) 704-4977
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
G39082
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G390820
—
CA
01
—
DE8050
MEDICARE RAILROAD
CA
01
—
WG39082E
MEDICARE ID
CA
Enumeration date
08/09/2007
Last updated
11/20/2012
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