Robert Leslie Montgomery in Culver City - Podiatrist

Robert Leslie Montgomery - NPI 1801802764

Robert Leslie Montgomery is a Podiatrist in Culver City, California. Robert Leslie Montgomery practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Robert Leslie Montgomery is 1801802764. The last update date is 2007-07-08.

Robert Leslie Montgomery's current location address is 5502 Sepulveda Blvd, Culver City, California. You can contact this provider via phone number 3103909386 and fax number 3105726194. The mailing address for Robert Leslie Montgomery is 5502 Sepulveda Blvd, Culver City, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Robert Leslie Montgomery
Address 5502 Sepulveda Blvd, Culver City, California
Phone Number 3103909386
Fax Number 3105726194
Sole Proprietor Y
Credentials D.P.M.

NPI Number Detail

NPI Number 1801802764
Provider Enumeration Date 2006-07-31
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 5502 Sepulveda Blvd
City Culver City
State California (CA)
Post Code 902305514
Phone Number 3103909386
Fax Number 3105726194

Provider's Primary Taxonomy Detail

Speciality Podiatrist
Taxonomy 213E00000X
Licence No E2976
Definition:
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
000E29761 CA --

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FAQs about Robert Leslie Montgomery

What is the unique 10-digit identification code assigned to Robert Leslie Montgomery by the Centers for Medicare & Medicaid Services?

The Robert Leslie Montgomery has been issued the NPI (National Provider Identifier) 1801802764, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Robert Leslie Montgomery's facilities are situated?

The facilities of Robert Leslie Montgomery are physically located at the following address: 5502 Sepulveda Blvd, Culver City, CA, 902305514.

What is the Robert Leslie Montgomery's area of specialization and corresponding taxonomy classification?

The Robert Leslie Montgomery's specialty field is Podiatrist, and it falls under the taxonomy code 213E00000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services assign the 1801802764 to Robert Leslie Montgomery?

The Centers for Medicare & Medicaid Services assigned the 1801802764 to Robert Leslie Montgomery on 2006-07-31.

As of what date were the Robert Leslie Montgomery's details last updated?

The information pertaining to the Robert Leslie Montgomery, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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