| Kevin Clark Robertson, PA | |
|
125 Eucalyptus Dr, El Segundo, CA 90245-3839 | |
| (310) 322-4278 | |
| (310) 322-6660 |
| Full Name | Kevin Clark Robertson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 21 Years |
| Location | 125 Eucalyptus Dr, El Segundo, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295955441 | NPI | - | NPPES |
| PA17110 | Other | CA | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA17110 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northside Hospital Forsyth | Cumming, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Peachtree Orthopaedic Clinic Pa | 4587552963 | 121 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Clark Robertson, PA 444 S San Vicente Blvd, Suite 800, Los Angeles, CA 90048 Ph: (310) 423-9716 | Kevin Clark Robertson, PA 125 Eucalyptus Dr, El Segundo, CA 90245-3839 Ph: (310) 322-4278 |
Mr. Timothy Dawayne Barmore, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 390 N Sepulveda Blvd, 1000, El Segundo, CA 90245 Phone: 310-343-6030 Fax: 310-640-9690 | |
Melody Castellon, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2110 E El Segundo Blvd, El Segundo, CA 90245 Phone: 310-784-3740 | |
Eve M Katzen, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 713 N Douglas St, El Segundo, CA 90245 Phone: 310-906-2788 Fax: 310-906-2786 | |
Elizabeth Idrogo, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 483 N Aviation Blvd Bldg 210, El Segundo, CA 90245 Phone: 310-653-6717 Fax: 310-653-6453 | |
Duke Romeo Salvador, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 483 N Aviation Blvd, El Segundo, CA 90245 Phone: 310-653-2873 | |
Mohammed Swissa, PA-S Physician Assistant Medicare: Medicare Enrolled Practice Location: 898 N Pacific Coast Hwy Ste 600, El Segundo, CA 90245 Phone: 310-379-2145 |