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Dr. Robert Key Bolan, MD
Specialist in Los Angeles, California
NPI 1386643831

Robert Key Bolan is a Specialist based in Los Angeles, CA. Robert Key Bolan practices in Los Angeles, CA and has the professional credentials of MD. The NPI Number for Robert Key Bolan is 1386643831 and holds a License No. G39301 (California).

The current practice location address for Robert Key Bolan is 1625 Schrader Blvd, Los Angeles, CA and can be reached out via phone at 323-993-7500 and via fax at 323-308-4015.

Location: 1625 Schrader Blvd, Los Angeles, CA, 90028-6213
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386643831
Provider Name
Robert Key Bolan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1625 Schrader Blvd, Los Angeles, CA, 90028-6213
Phone Number
323-993-7500
Fax Number
323-308-4015
Provider Enumeration Date
07/18/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G39301 01 CA STATE LICENSE #
00G393010 05 CA
institution
Provider Business Practice Location Address Details
Address
1625 Schrader Blvd
City
Los Angeles
State
California
Zip
90028-6213
Phone Number
323-993-7500
Fax Number
323-308-4015
person
Provider Business Mailing Address Details
Address
1625 Schrader Blvd
City
Los Angeles
State
California
Zip
90028-6213
Phone Number
323-993-7500
Fax Number
323-308-4015
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G39301 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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