Basic Information
Provider Information
NPI: 1780615062
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STERLING
FirstName: ROBERT
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 14445 OLIVE VIEW DR
Address2:  
City: SYLMAR
State: CA
PostalCode: 913421437
CountryCode: US
TelephoneNumber: 8183643110
FaxNumber:  
Practice Location
Address1: 700 ALAMO PINTADO RD
Address2:  
City: SOLVANG
State: CA
PostalCode: 934632269
CountryCode: US
TelephoneNumber: 8056886431
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/05/2006
LastUpdateDate: 06/07/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000XG39939CAY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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