Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 18566 | CA |
N | 111NN1001X | Nutrition | 18566 | CA |
NPI | 1336315662 |
---|---|
Provider Name | Dr. Robert Bruce Norett |
First Address | Los Angeles, CA 90026-1930 |
Second Address | Los Angeles, CA 90026-1930 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/05/2008 |
Last Update Date | 06/05/2008 |