| Robert Huizenga Md A Medical Corporation | |
|
150 N Robertson Blvd Suite 115 Beverly Hills CA 90211-2142 | |
| (310) 657-9191 | |
| (310) 657-9088 |
| Full Name | Robert Huizenga Md A Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 150 N Robertson Blvd, Beverly Hills, California |
| Authorized Official Name and Position | Robert John Huizenga (OWNER) |
| Authorized Official Contact | 3106579191 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Huizenga Md A Medical Corporation 150 N Robertson Blvd Suite 115 Beverly Hills CA 90211-2142 Ph: (310) 657-9191 | Robert Huizenga Md A Medical Corporation 150 N Robertson Blvd Suite 115 Beverly Hills CA 90211-2142 Ph: (310) 657-9191 |
| NPI Number | 1235243908 |
|---|---|
| Provider Enumeration Date | 08/18/2006 |
| Last Update Date | 08/03/2015 |
| Medicare PECOS PAC ID | 8729085022 |
|---|---|
| Medicare Enrollment ID | O20061030000443 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235243908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G40228 (California) | Primary |
| Provider Name | Robert Huizenga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245264720 PECOS PAC ID: 4688627045 Enrollment ID: I20061030000530 |
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