Individual
DR. JOHN MARSHALL ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2121 SANTA MONICA BLVD, SANTA MONICA, CA 90404-2303
(310) 829-8618
(310) 829-8607
Mailing address
2121 SANTA MONICA BLVD, SAINT JOHNS HEALTH CENTER, SANTA MONICA, CA 90404-2303
(310) 829-8618
(310) 829-8607
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
G38174
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
JR-G38174
MEDICARE IDENTIFICATION NUMBER
CA
Enumeration date
10/05/2006
Last updated
04/19/2021
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