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Organization

ROBERT W. OBLATH, M.D., INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMIE JACOBSON (BILLING MANAGER)
(818) 774-1771
Entity
Organization

Contact information

Practice address
18370 BURBANK BLVD, #607, TARZANA, CA 91356-2804
(818) 774-1771
(818) 704-4977
Mailing address
PO BOX 572913, TARZANA, CA 91357-2913
(818) 774-1771
(818) 704-4977

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
G39082
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G390820
CA
01
DE8050
MEDICARE RAILROAD
CA
01
WG39082E
MEDICARE ID
CA
Enumeration date
08/09/2007
Last updated
11/20/2012
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