Robert A Tracy
Family Doctor - Adult Medicine
3056 Fletcher Dr
Los Angeles
, California 90065-2207
Robert A Tracy
Family Doctor - Adult Medicine
3056 Fletcher Dr
Los Angeles
, California 90065-2207
(323) 256-2231
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About
Features
Specialties
- Family Doctor - Adult Medicine
Languages spoken
- English
Location
First Address
- Robert A Tracy
- 3056 Fletcher Dr
- Los Angeles, CA
- Zip : 90065-2207
- Phone : (323) 256-2231
Second Address
- Robert A Tracy
- 3056 Fletcher Dr
- Los Angeles, CA
- Zip : 90065-2207
- Fax : (323) 892-2571
- Phone : (323) 256-2231
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0505X | Family Doctor - Adult Medicine | 2OA12632 | CA |
National Provider Identifier
| NPI | 1316219058 |
|---|---|
| Provider Name | Robert A Tracy |
| First Address | Los Angeles, CA 90065-2207 |
| Second Address | Los Angeles, CA 90065-2207 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/01/2012 |
| Last Update Date | 23/04/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.