Robert E. Bristow
Obstetrician & Gynecologist Gynecologic Oncologist
101 The City Drive South
Orange
, California 92868
Robert E. Bristow
Obstetrician & Gynecologist Gynecologic Oncologist
101 The City Drive South
Orange
, California 92868
(714) 456-7004
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About
Features
Specialties
- Obstetrician & Gynecologist
- Gynecologic Oncologist
Languages spoken
- English
Location
First Address
- Robert E. Bristow
- Po Box 513980
- Los Angeles, CA
- Zip : 90051-3980
- Phone : (714) 456-7004
Second Address
- Robert E. Bristow
- 101 The City Drive South
- Orange, CA
- Zip : 92868
- Phone : (410) 955-6700
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207V00000X | Obstetrician & Gynecologist | D53552 | MD |
| Y | 207VX0201X | Gynecologic Oncologist | G81369 | CA |
National Provider Identifier
| NPI | 1427016039 |
|---|---|
| Provider Name | Robert E. Bristow |
| First Address | Los Angeles, CA 90051-3980 |
| Second Address | Orange, CA 92868 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/05/2006 |
| Last Update Date | 16/12/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00G813690 | (05) | CA |
| 221505500 | (05) | MD |
| G75325 | (02) | MD |
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.