Organization
ROBERT A. MECUM, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT A MECUM M.D. (PRESIDENT)
(562) 789-5577
Entity
Organization
Contact information
Practice address
1605 EUSTON RD, SAN MARINO, CA 91108-1917
(562) 789-5577
(562) 789-5567
Mailing address
12291 WASHINGTON BLVD STE 304, WHITTIER, CA 90606-2551
(562) 789-5577
(562) 789-5567
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G78258
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G782580
—
CA
Enumeration date
08/07/2012
Last updated
04/22/2013
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