Provider Demographics
NPI:1063440295
Name:JAMES, ROBERT LOGAN (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:LOGAN
Last Name:JAMES
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3201 WILSHIRE BLVD
Mailing Address - Street 2:306
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90403-2344
Mailing Address - Country:US
Mailing Address - Phone:310-828-6680
Mailing Address - Fax:310-829-5196
Practice Address - Street 1:3201 WILSHIRE BLVD
Practice Address - Street 2:306
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90403-2344
Practice Address - Country:US
Practice Address - Phone:310-828-6680
Practice Address - Fax:310-829-5196
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-28
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAG280162084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry