Dr. Robert Bruce Ettenger
M.D. | Pediatric Nephrology | Male
Dr. Robert Bruce Ettenger, M.D. is a Los Angeles, California based Pediatric doctor with medical specialization in
Pediatric Nephrology.
Current practice location of Dr. Robert Bruce Ettenger is
10833 Le Conte Ave, 12-441 Mdcc, Los Angeles, California - 90095-3075. He can be contacted on phone at
310-206-3952 and fax number 310-206-0209.
Dr. Robert Bruce Ettenger is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Robert Bruce Ettenger is
1043233661 which was assigned by NPPES on 25 Jul, 2006 and it was last updated on 09 Jul, 2007.
Dr. Robert Bruce Ettenger license number is
C36820 for Pediatrics Pediatric Nephrology (2080P0210X) in California.
Dr. Robert Bruce Ettenger deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
Complete Profile:
Dr. Robert Bruce Ettenger basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Nephrology |
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| Provider Name : | Dr. Robert Bruce Ettenger |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Robert Bruce Ettenger address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 10833 Le Conte Ave, 12-441 Mdcc
Los Angeles, CA, 90095-3075
United States |
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| Phone Number : | 310-206-3952 |
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| Fax Number : | 310-206-0209 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1043233661 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 25 Jul, 2006 |
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| Last Updated On : | 09 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Robert Bruce Ettenger are as mentioned. Primary taxonomy code for Dr. Robert Bruce Ettenger, M.D. is
2080P0210X (Pediatrics Pediatric Nephrology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0210X | Pediatrics Pediatric Nephrology | Yes | C36820 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Robert Bruce Ettenger such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| GR0053510 | MEDICAID | CA | |
| 00C368200 | MEDICAID | CA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 10833 Le Conte Ave, 12-441 Mdcc
Los Angeles, CA, 90095-3075
United States |
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| Phone Number : | 310-206-3952 |
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| Fax Number : | 310-206-0209 |
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Business Location:
Patients can refer following map for directions to
Dr. Robert Bruce Ettenger practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.