# ROBERT B. FENTON, M.D. A MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871863357
- **Authorized official:** ROBERT B FENTON M.D. (PRESIDENT)
- **Authorized official phone:** (310) 543-1154

## Contact information

- **Practice address:** 3475 TORRANCE BLVD, SUITE F, TORRANCE, CA 90503-5800
- **Practice address phone:** (310) 543-1154
- **Practice address fax:** (310) 543-2617
- **Mailing address:** 3475 TORRANCE BLVD, SUITE F, TORRANCE, CA 90503-5800
- **Mailing address phone:** (310) 543-1154
- **Mailing address fax:** (310) 543-2617

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | G32805 | CA | Yes |

## Other

- **Enumeration date:** 12/30/2011
- **Last updated:** 12/30/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | G32805 | MEDICARE | CA |