Individual
MR. ROBERT ALAN PRINCENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
415 ROLLING OAKS DR, THOUSAND OAKS, CA 91361-1031
(805) 778-1513
Mailing address
415 ROLLING OAKS DR. #160, THOUSAND OAKS, CA 91361
(805) 778-1513
(805) 267-5119
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G52310
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G523100
—
CA
Enumeration date
05/08/2006
Last updated
02/28/2014
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