Simon, Robert Jeffrey

Simon, Robert Jeffrey is an individual health care provider with primary practice located at 13320 Riverside Drive #214, Sherman Oaks CA 91423. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Simon, Robert Jeffrey can be contacted via phone (818) 789-0451.

Contact Information

Primary practice address
13320 Riverside Drive #214 Sherman Oaks CA 91423
Fax: (818) 789-9599
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A46574 California

Profile Details

NPI number 1457329492
LBN Legal business name Simon, Robert Jeffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Mar 7th, 2023 - about last year

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 1457329492 NPPES
California MEDICAID 00A46574O

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