Basic Information
Provider Information
NPI: 1780609966
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FIGLIN
FirstName: ROBERT
MiddleName: ALAN
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: FILE #55737
Address2:  
City: LOS ANGELES
State: CA
PostalCode: 90074
CountryCode: US
TelephoneNumber: 3103018708
FaxNumber: 3103018751
Practice Location
Address1: 1500 E. DUARTE RD.
Address2:  
City: DUARTE
State: CA
PostalCode: 91010
CountryCode: US
TelephoneNumber: 6263598111
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/12/2006
LastUpdateDate: 05/21/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RH0003XG35300CAY Allopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology

ID Information
IDTypeStateIssuerDescription
00G35300001CAMEDICAL PPIN #OTHER


Home