Nagourney, Robert Alan

Nagourney, Robert Alan is an individual health care provider with primary practice located at 701 E 28Th St , Long Beach CA 90806-2759. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Nagourney, Robert Alan can be contacted via phone (562) 989-6455.

Contact Information

Primary practice address
701 E 28Th St Long Beach CA 90806-2759
Fax: (562) 989-8160
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G43463 California

Profile Details

NPI number 1285694018
LBN Legal business name Nagourney, Robert Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Jan 14th, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285694018 NPPES
California MEDICAID GR0029650

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