Robertson, John Marshall

Robertson, John Marshall is an individual health care provider with primary practice located at 2121 Santa Monica Blvd , Santa Monica CA 90404-2303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Robertson, John Marshall can be contacted via phone (310) 829-8618.

Contact Information

Primary practice address
2121 Santa Monica Blvd Santa Monica CA 90404-2303
Phone: (310) 829-8618
Fax: (310) 829-8607
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X G38174 California

Profile Details

NPI number 1689760480
LBN Legal business name Robertson, John Marshall
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Apr 19th, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689760480 NPPES
California Other JR-G38174 MEDICARE IDENTIFICATION NUMBER

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