Basic Information
| Provider Information | |||||||||
| NPI: | 1548209711 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LAUGHLIN | ||||||||
| FirstName: | ROBERT | ||||||||
| MiddleName: | L | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3838 SAN DIMAS ST | ||||||||
| Address2: | SUITE A250 | ||||||||
| City: | BAKERSFIELD | ||||||||
| State: | CA | ||||||||
| PostalCode: | 933012284 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6613235300 | ||||||||
| FaxNumber: | 6613235455 | ||||||||
| Practice Location | |||||||||
| Address1: | 3838 SAN DIMAS ST | ||||||||
| Address2: | SUITE A250 | ||||||||
| City: | BAKERSFIELD | ||||||||
| State: | CA | ||||||||
| PostalCode: | 933012284 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6613235300 | ||||||||
| FaxNumber: | 6613235455 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/05/2006 | ||||||||
| LastUpdateDate: | 05/13/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | A36927 | CA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RC0200X | A36927 | CA | N | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine | 207RP1001X | A36927 | CA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease |
ID Information
| ID | Type | State | Issuer | Description | P00200661 | 01 | CA | RAILROAD MEDICARE | OTHER | GR0085570 | 05 | CA | MEDICAID |