Robert M Pettis Md Inc.

LBN: Robert M Pettis Md Inc.
Robert M Pettis Md Inc. is an health care organization with primary practice located at 31862 Coast Hwy Ste 302 , Laguna Beach CA 92651-6772. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as the primary health care specialty. Robert M Pettis Md Inc. can be contacted via phone (949) 715-0500, or through Pettis, Robert M via phone (949) 715-0500.

Contact Information

Primary practice address
31862 Coast Hwy Ste 302 Laguna Beach CA 92651-6772
Phone: (949) 715-0500
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pettis, Robert M Doctor of Medicine (MD)
Phone: (949) 715-0500

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X A77461 California

Profile Details

NPI number 1336287036
LBN Legal business name Robert M Pettis Md Inc.
DBA Doing business as
Authorized official Pettis, Robert M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 2nd, 2007
Last updated Jul 28th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336287036 NPPES
California Other A77461 STATE LICENSE

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