Robert Tracy DO, INC
Family Medicine in Los Angeles, CA. Organization (NPI-2).
NPI number1083005474
StatusActive
Last updated in NPPESSep 4, 2024
Details
- NPI
- 1083005474
- Entity type
- Organization (NPI-2)
- Legal business name
- Robert Tracy DO, INC
- Organization subpart
- No
- Enumeration date
- Feb 6, 2015
- Certification date
- Sep 4, 2024
- Last updated
- Sep 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
3056 Fletcher DrLos Angeles, CA 90065-2207
Phone 323-256-2231 · Fax 323-892-2571
Mailing address
3056 Fletcher DrLos Angeles, CA 90065-2207
Phone 323-256-2231 · Fax 323-892-2571
Other practice locations
292 N Wilshire Ave Ste 102
Anaheim, CA 92801-5851
Anaheim, CA 92801-5851
Phone 714-215-4555 · Fax 213-800-8335
Authorized official
Robert A Tracy
Owner
3232562231
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