Roberts, Craig M

Roberts, Craig M is an sole proprietor health care provider with primary practice located at 2678 E Florence Ave , Huntington Park CA 90255-4708. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Roberts, Craig M can be contacted via phone (323) 587-3011.

Contact Information

Primary practice address
2678 E Florence Ave Huntington Park CA 90255-4708
Phone: (323) 587-3011
Fax: (323) 587-0309
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X E3803 California

Profile Details

NPI number 1720010556
LBN Legal business name Roberts, Craig M
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2006
Last updated Jun 8th, 2010 - about 15 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 1720010556 NPPES
California MEDICAID 000E38032

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