Montgomery, Robert Leslie

Montgomery, Robert Leslie is an sole proprietor health care provider with primary practice located at 5502 Sepulveda Blvd , Culver City CA 90230-5514. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Montgomery, Robert Leslie can be contacted via phone (310) 390-9386.

Contact Information

Primary practice address
5502 Sepulveda Blvd Culver City CA 90230-5514
Phone: (310) 390-9386
Fax: (310) 572-6194
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E2976 California

Profile Details

NPI number 1801802764
LBN Legal business name Montgomery, Robert Leslie
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2006
Last updated Jul 8th, 2007 - about 17 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 1801802764 NPPES
California MEDICAID 000E29761

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