Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | E2485 | CA |
N | 222Z00000X | Podiatrist | E2485 | CA |
Y | 213ES0131X | Foot Surgery | E2485 | CA |
NPI | 1225010648 |
---|---|
Provider Name | Dr. Robert Paul Binder |
First Address | Reseda, CA 91335-6367 |
Second Address | Reseda, CA 91335-6367 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/11/2005 |
Last Update Date | 03/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000E24850 | (05) | CA |
T19204 | (02) | CA |