| Robert Marriott, MD | |
|
222 N Pacific Coast Hwy Ste 2175, El Segundo, CA 90245-5639 | |
| (877) 878-3289 | |
| (877) 817-3227 |
| Full Name | Robert Marriott |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 222 N Pacific Coast Hwy Ste 2175, El Segundo, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700804887 | NPI | - | NPPES |
| A92018 | Other | CA | MEDICAL LICIENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | A92018 (California) | Primary |
| Entity Name | Healthcare Partners Affiliates Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659312593 PECOS PAC ID: 7315842002 Enrollment ID: O20031204001258 |
| Entity Name | Robert Marriott Medical Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083883938 PECOS PAC ID: 2567531494 Enrollment ID: O20080519000660 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Marriott, MD 222 N Pacific Coast Hwy Ste 2175, El Segundo, CA 90245-5639 Ph: (877) 878-3289 | Robert Marriott, MD 222 N Pacific Coast Hwy Ste 2175, El Segundo, CA 90245-5639 Ph: (877) 878-3289 |
Dr. Cyrus David Rahnema, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 222 N Pacific Coast Hwy Ste 2175, El Segundo, CA 90245 Phone: 877-878-3289 Fax: 877-817-3227 | |
Thuy Cao, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 222 N Pacific Coast Hwy Ste 2175, El Segundo, CA 90245 Phone: 877-878-3289 | |
Vijay K Davuluri, MD Surgery Medicare: Medicare Enrolled Practice Location: 222 N Pacific Coast Hwy Ste 1420, El Segundo, CA 90245 Phone: 877-878-3289 Fax: 877-817-3227 | |
Dr. Kathy Palatnik, Surgery Medicare: Accepting Medicare Assignments Practice Location: 222 N Pacific Coast Hwy Ste 2175, El Segundo, CA 90245 Phone: 877-878-3289 Fax: 877-817-3227 | |
Dr. Gonzalo Cruz-schiavone, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 222 N Pacific Coast Hwy Ste 2175, El Segundo, CA 90245 Phone: 877-878-3289 | |
Chu-yu Cheng, MD, MS Surgery Medicare: Medicare Enrolled Practice Location: 222 N Pacific Coast Hwy Ste 1420, El Segundo, CA 90245 Phone: 877-878-3289 Fax: 877-817-3227 |