Individual
ROBERT E ENGSTROM JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16500 VENTURA BLVD, SUITE 250, ENCINO, CA 91436-2011
(818) 788-9333
(818) 788-9273
Mailing address
16500 VENTURA BLVD, SUITE 250, ENCINO, CA 91436-2011
(818) 788-9333
(818) 788-9273
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G69965
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G699650
—
CA
Enumeration date
10/14/2005
Last updated
07/09/2010
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