Individual
ROBERT MARRIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
222 N PACIFIC COAST HWY STE 2175, EL SEGUNDO, CA 90245-5639
(877) 878-3289
(877) 817-3227
Mailing address
222 N PACIFIC COAST HWY STE 2175, EL SEGUNDO, CA 90245-5639
(877) 878-3289
(877) 817-3227
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A92018
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A92018
MEDICAL LICIENSE
CA
Enumeration date
07/17/2006
Last updated
12/30/2019
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