Jeffries, Robert Michael

Jeffries, Robert Michael is an sole proprietor health care provider with primary practice located at 444 S San Vicente Blvd Mgb, Suite 603, Los Angeles CA 90048-4165. He recently has only one registered license in Suppliers / Customized Equipment, which is considered as his primary health care specialty. Jeffries, Robert Michael can be contacted via phone (310) 313-5874.

Contact Information

Primary practice address
444 S San Vicente Blvd Mgb, Suite 603 Los Angeles CA 90048-4165
Phone: (310) 313-5874
Fax: (310) 395-1187
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X

Profile Details

NPI number 1215157326
LBN Legal business name Jeffries, Robert Michael
Credentials Certified Orthotist (CO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 30th, 2007
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1215157326 NPPES
California MEDICAID XA0007130

Popular Providers