Organization
CMC PULMONARY PHYSIOLOGY LABORATORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT K. ROTHBART M.D. (DIRECTOR)
(213) 742-0910
Entity
Organization
Contact information
Practice address
1401 S GRAND AVE, CARDIOPULMONARY DEPARTMENT, LOS ANGELES, CA 90015-3010
(213) 742-0910
(213) 742-6631
Mailing address
2300 S FLOWER ST, #101, LOS ANGELES, CA 90007-2660
(213) 742-0910
(213) 742-6631
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0056190
—
CA
Enumeration date
07/05/2006
Last updated
08/22/2020
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