Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | G29550 | CA |
Y | 208600000X | Surgeon | G29550 | CA |
NPI | 1013022607 |
---|---|
Provider Name | Robert Lipsky |
First Address | Studio City, CA 91604-4246 |
Second Address | Beverly Hills, CA 90210-6144 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2006 |
Last Update Date | 08/07/2007 |