Organization
DR.ROBERT KUMMER,O.D., A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT KUMMER O.D. (PRESIDENT)
(310) 274-0653
Entity
Organization
Contact information
Practice address
1421 S ROBERTSON BLVD, LOS ANGELES, CA 90035-3401
(310) 274-0653
(310) 274-0360
Mailing address
1421 S ROBERTSON BLVD, LOS ANGELES, CA 90035-3401
(310) 274-0653
(310) 274-0360
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5550 TPL
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0055500
—
CA
Enumeration date
08/08/2007
Last updated
06/16/2008
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