Individual
ROBERT REITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 UCLA MEDICAL PLZ STE 140, LOS ANGELES, CA 90095-3075
(310) 794-7152
(310) 794-1666
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
G67515
CA
208800000X
Urology Physician
Primary
G67515
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G675150
—
CA
Enumeration date
07/19/2006
Last updated
01/09/2020
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