DR. ROBERT STEPHAN AMONIC MD NPI 1578577011

NPI Information

NPI: 1578577011
Provider Name: DR. ROBERT STEPHAN AMONIC, MD
Classification: Surgery - 2086S0122X
Entity Type: Individual

Specialization: Plastic and Reconstructive Surgery

Address:
2001 SANTA MONICA BLVD
SUITE 790-W
SANTA MONICA, CA
ZIP 90404
Phone: (310) 829-7821
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DR. Robert Stephan Amonic, MD is a plastic and reconstructive surgery surgery in Santa Monica, CA. The provider is a surgeon who specializes in plastic and reconstructive surgery. DR. Robert Stephan Amonic, MD NPI is 1578577011. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2001 SANTA MONICA BLVD
SUITE 790-W
SANTA MONICA, CA
ZIP 90404-102
Phone: (310) 829-7821
Fax: (310) 453-6541

The enumeration date for this NPI number is 7/28/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0122X	Surgery	Plastic and Reconstructive Surgery	A21380	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	WA21380B	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	PPIN #
2	B49924	MEDICARE UPIN	CALIFORNIA
3	00A213800	OTHER	CALIFORNIA	MEDICAL PPIN #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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