Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | G59366 | CA |
NPI | 1245246313 |
---|---|
Provider Name | Robert M. Applebaum |
First Address | Los Angeles, CA 90049 |
Second Address | Beverly Hills, CA 90210-4310 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2006 |
Last Update Date | 04/08/2008 |