| Robert B Hosseini M D Inc | |
|
1728 S Catalina Ave Redondo Beach CA 90277-5504 | |
| (310) 540-7200 | |
| (310) 540-5455 |
| Full Name | Robert B Hosseini M D Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1728 S Catalina Ave, Redondo Beach, California |
| Authorized Official Name and Position | Robert B. Hosseini (CEO) |
| Authorized Official Contact | 3105407200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert B Hosseini M D Inc 1728 S Catalina Ave Redondo Beach CA 90277-5517 Ph: (310) 540-7200 | Robert B Hosseini M D Inc 1728 S Catalina Ave Redondo Beach CA 90277-5504 Ph: (310) 540-7200 |
| NPI Number | 1417008632 |
|---|---|
| Provider Enumeration Date | 01/15/2007 |
| Last Update Date | 10/08/2021 |
| Medicare PECOS PAC ID | 5991829376 |
|---|---|
| Medicare Enrollment ID | O20100908000462 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417008632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A63298 (California) | Primary |
| Provider Name | Robert B Hosseini |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649355256 PECOS PAC ID: 1254455611 Enrollment ID: I20100908000242 |
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