Organization
CMC PULMONARY LAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT ROTHBART MD (PRESIDENT)
(213) 742-0910
Entity
Organization
Contact information
Practice address
1401 S GRAND AVE, LOS ANGELES, CA 90015-3010
(213) 742-0910
(213) 742-6631
Mailing address
2300 S FLOWER ST STE 101, LOS ANGELES, CA 90007-2689
(213) 742-0910
(213) 742-6631
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
A29402
CA
293D00000X
Physiological Laboratory
Primary
G32106
CA
Other
Enumeration date
07/20/2006
Last updated
08/22/2020
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