MR. ROBERT MICHAEL JEFFRIES C.O. NPI 1215157326

NPI Information

NPI: 1215157326
Provider Name: MR. ROBERT MICHAEL JEFFRIES, C.O.
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Individual

Specialization: Customized Equipment

Address:
444 S SAN VICENTE BLVD
MGB, SUITE 603
LOS ANGELES, CA
ZIP 90048
Phone: (310) 313-5874
Get Directions

MR. Robert Michael Jeffries, C.O. is a customized equipment durable medical equipment medical supplies in Los Angeles, CA. MR. Robert Michael Jeffries, C.O. NPI is 1215157326. 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:

444 S SAN VICENTE BLVD
MGB, SUITE 603
LOS ANGELES, CA
ZIP 90048-165
Phone: (310) 313-5874
Fax: (310) 395-1187

The enumeration date for this NPI number is 4/30/2007 and was last updated on 7/9/2007.

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	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment			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	XA0007130	MEDICAID	CALIFORNIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »