Individual
DR. ROBERT GEORGE LOUIS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3900 W COAST HWY STE 300, NEWPORT BEACH, CA 92663-4093
(949) 383-4185
Mailing address
3900 W COAST HWY STE 300, NEWPORT BEACH, CA 92663-4093
(949) 383-4185
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
A122626
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB227900
MEDICARE PTAN - GROUP
CA
01
—
CB227901
MEDICARE PTAN - INDIVIDUAL
CA
Enumeration date
06/08/2007
Last updated
04/02/2018
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