Organization
ROBERT B. FENTON, M.D. A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT B FENTON M.D. (PRESIDENT)
(310) 543-1154
Entity
Organization
Contact information
Practice address
3475 TORRANCE BLVD, SUITE F, TORRANCE, CA 90503-5800
(310) 543-1154
(310) 543-2617
Mailing address
3475 TORRANCE BLVD, SUITE F, TORRANCE, CA 90503-5800
(310) 543-1154
(310) 543-2617
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G32805
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G32805
MEDICARE
CA
Enumeration date
12/30/2011
Last updated
12/30/2011
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