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Robert P. Waldman, M.D. A Professional Corporation

Internal Medicine, Nephrology in Marina Del Rey, CA. Organization (NPI-2).

NPI number1750683090
StatusActive
Last updated in NPPESNov 18, 2010

Details

NPI
1750683090
Entity type
Organization (NPI-2)
Legal business name
Robert P. Waldman, M.D. A Professional Corporation
Organization subpart
No
Enumeration date
Nov 18, 2010
Last updated
Nov 18, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RN0300X Internal Medicine, NephrologyG49826CAYes

Practice location

4644 Lincoln Blvd
Ste 540
Marina Del Rey, CA 90292-6313

Phone 310-301-0015 · Fax 310-901-5821

Mailing address

4644 Lincoln Blvd
Ste 540
Marina Del Rey, CA 90292-6313

Phone 310-301-0015 · Fax 310-901-5821

Authorized official

Robert P. Waldman
President
3103010015

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