Henderson Jr, Robert William
Henderson Jr, Robert William is an individual health care provider with primary practice located at 1520 San Pablo St # 1600 , Los Angeles CA 90033-5310. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nuclear Radiology, which is considered as his primary health care specialty. Henderson Jr, Robert William can be contacted via phone (323) 442-8541.Contact Information
Primary practice address
1520 San Pablo St # 1600
Los Angeles CA 90033-5310
Phone: (323) 442-8541
Fax: (323) 442-8755
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | G25042 | California |
Profile Details
| NPI number | 1427083195 |
|---|---|
| LBN Legal business name | Henderson Jr, Robert William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Apr 23rd, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427083195 | NPPES |
| California | Other | 00G250420G56 | CAL OPTIMA |
| California | MEDICAID | 00G250420 | CAL OPTIMA |
| California | Other | 300046333 | CAL OPTIMA |
| California | Other | 00G250420 | CAL OPTIMA |
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