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Individual

DR. ROBERT PAOLETTI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
4477 W. 118TH ST., STE 105, HAWTHORNE, CA 90250
(310) 679-2251
(310) 679-9387
Mailing address
4477 W. 118TH ST., STE 105, HAWTHORNE, CA 90250
(310) 679-2251
(310) 679-9387

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E3861
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000E38612
CA
01
E3861
LIC
CA
Enumeration date
01/29/2007
Last updated
07/08/2007
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