Scott Robertson Md Inc

LBN: Scott Robertson Md Inc
Scott Robertson Md Inc is an health care organization with primary practice located at 901 Oak Park Blvd Suite 100, Pismo Beach CA 93449-3408. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Scott Robertson Md Inc can be contacted via phone (805) 489-2205, or through Robertson, Scott E via phone (805) 489-2205.

Contact Information

Primary practice address
901 Oak Park Blvd Suite 100 Pismo Beach CA 93449-3408
Fax: (805) 489-2206
Website:
Authorized official contact:
Name: Robertson, Scott E Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1598091068
LBN Legal business name Scott Robertson Md Inc
DBA Doing business as
Authorized official Robertson, Scott E Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2009
Last updated Dec 20th, 2011 - 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 1598091068 NPPES
California Other CLP00339667 DPH CLINICAL LABORATORY REGISTRATION NUMBER
California Other C3228143 DPH CLINICAL LABORATORY REGISTRATION NUMBER
California Other 05D2006808 DPH CLINICAL LABORATORY REGISTRATION NUMBER

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