Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | G43246 | CA |
NPI | 1225010077 |
---|---|
Provider Name | Robert D Loitz |
First Address | Torrance, CA 90504-5513 |
Second Address | Pasadena, CA 91105-3132 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2005 |
Last Update Date | 21/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A49284 | (02) |