Organization
ROBERT F. NEMEROFF, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT F. NEMEROFF M.D. (PRESIDENT)
(310) 441-0051
Entity
Organization
Contact information
Practice address
1509 MANNING AVE, LOS ANGELES, CA 90024-5813
(310) 441-0051
(310) 441-0052
Mailing address
9663 SANTA MONICA BLVD, #556, BEVERLY HILLS, CA 90210-4303
(310) 441-0051
(310) 441-0052
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
G66348
CA
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
G66348
CA
Other
Enumeration date
12/01/2006
Last updated
08/22/2008
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