Individual
DR. ROBERT STEPHAN AMONIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2001 SANTA MONICA BLVD, SUITE 790-W, SANTA MONICA, CA 90404-2102
(310) 829-7821
(310) 453-6541
Mailing address
2001 SANTA MONICA BLVD, SUITE 790-W, SANTA MONICA, CA 90404-2102
(310) 829-7821
(310) 453-6541
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
A21380
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A213800
MEDICAL PPIN #
CA
Enumeration date
07/28/2006
Last updated
07/08/2007
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