Provider Demographics
NPI:1801674445
Name:CHUMAN, ROBERT (LIC # 304467 DPT)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:
Last Name:CHUMAN
Suffix:
Gender:M
Credentials:LIC # 304467 DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3878 W CARSON ST STE 101
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-6707
Mailing Address - Country:US
Mailing Address - Phone:310-316-8878
Mailing Address - Fax:310-316-8879
Practice Address - Street 1:3878 W CARSON ST STE 101
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-6707
Practice Address - Country:US
Practice Address - Phone:310-316-8878
Practice Address - Fax:310-316-8879
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-15
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3044672081S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports Medicine