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Organization
ROBERT WEST MD INC
Active
Organization
ROBERT WEST MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUE ROTAN (MANAGER)
(909) 838-7123
Entity
Organization
Contact information
Practice address
600 N 13TH ST STE 150, UPLAND, CA 91786-4905
(909) 985-2223
(909) 985-2233
Mailing address
600 N 13TH ST STE 150, UPLAND, CA 91786-4905
(909) 985-2223
(909) 985-2233
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A80098
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A80098
HMO
CA
01
—
00A800980
BLUE CROSS SHIELD
CA
01
—
00A800983
INDIVIDUAL PTAN
CA
01
—
00A800984
INDIVIDUAL PTAN
CA
01
—
00A800985
INDIVIDUAL PTAN
CA
01
—
00A800986
INDIVIDUAL PTAN
CA
01
—
00A800987
INDIVIDUAL PTAN
CA
01
—
00A800988
INDIVIDUAL PTAN
CA
Enumeration date
12/21/2006
Last updated
09/24/2008
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