Provider Demographics
NPI:1538260617
Name:FRENCH, ROBERT JAMES (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:JAMES
Last Name:FRENCH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31511 BLUFF DRIVE
Mailing Address - Street 2:
Mailing Address - City:LAGUNA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92651-8327
Mailing Address - Country:US
Mailing Address - Phone:949-499-3477
Mailing Address - Fax:949-494-1183
Practice Address - Street 1:265 LAGUNA AVENUE
Practice Address - Street 2:
Practice Address - City:LAGUNA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92651-2119
Practice Address - Country:US
Practice Address - Phone:949-494-1181
Practice Address - Fax:949-494-1183
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2012-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC34668207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAC34668Medicaid
CAC34668Medicaid
A87747Medicare UPIN