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Organization
ROBERT B GHATAN M D INC
Active
Organization
ROBERT B GHATAN M D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT GHATAN MD (PRESIDENT)
(626) 289-7127
Entity
Organization
Contact information
Practice address
207 S SANTA ANITA STREET, SUITE 336, SAN GABRIEL, CA 91776-1146
(626) 289-7127
(626) 289-8233
Mailing address
207 S SANTA ANITA STREET, SUITE 336, SAN GABRIEL, CA 91776-1146
(626) 289-7127
(626) 289-8233
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A30201
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DG9756
RAILROAD MEDICARE
CA
Enumeration date
12/03/2007
Last updated
10/23/2008
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