Individual
ROBERT MARCUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4101 TORRANCE BLVD, TORRANCE, CA 90503-4607
(310) 543-6929
Mailing address
DEPT LA 21552, PASADENA, CA 91185-0001
(888) 959-4366
(888) 960-9876
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G44639
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G446390
BLUE SHIELD
CA
05
—
00G446390
—
CA
Enumeration date
01/25/2006
Last updated
11/02/2016
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