Individual
ROBERT SCOTT VENICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10833 LECONTE AVE, 12-441 MDCC, LOS ANGELES, CA 90095-0001
(310) 206-6134
(310) 206-0203
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
(310) 206-6134
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
A77078
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A770780
—
CA
Enumeration date
06/27/2006
Last updated
09/30/2013
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