Individual provider · Type 1 NPI

Ward A. Robidart, PA-C

Surgical Physician Assistant · Los Angeles, CA

NPI number 1760518211 Active

Practice location

12021 Wilmington Ave
Los Angeles, CA 90059-3019

Fax (310) 763-8909

Mailing address

404 N Hanford Ave
San Pedro, CA 90732-2622

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA13251 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1760518211

Ward A. Robidart, PA-C's National Provider Identifier is 1760518211, issued on Feb 26, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Los Angeles, CA. The record was last updated on Sep 12, 2007.