Individual
MICHAEL ANDREW ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1510 S CENTRAL AVE STE 100, GLENDALE, CA 91204-2582
(213) 483-2416
(213) 483-8211
Mailing address
1510 S CENTRAL AVE STE 100, GLENDALE, CA 91204-2582
(213) 483-2416
(213) 483-8211
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A77138
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A771380
—
CA
Enumeration date
08/23/2005
Last updated
10/21/2020
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