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Organization
ROBERT P. WALDMAN, M.D. A PROFESSIONAL CORPORATION
Active
Organization
ROBERT P. WALDMAN, M.D. A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT P. WALDMAN M.D. (PRESIDENT)
(310) 301-0015
Entity
Organization
Contact information
Practice address
4644 LINCOLN BLVD, STE 540, MARINA DEL REY, CA 90292-6313
(310) 301-0015
(310) 901-5821
Mailing address
4644 LINCOLN BLVD, STE 540, MARINA DEL REY, CA 90292-6313
(310) 301-0015
(310) 901-5821
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
G49826
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487689329
INDIVIDUAL NPI
CA
01
—
G49826
PTAN
CA
Enumeration date
11/18/2010
Last updated
11/18/2010
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