Provider Demographics
NPI:1699751693
Name:SWIFT, ROBERT D (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:D
Last Name:SWIFT
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3333 SKYPARK DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-5023
Mailing Address - Country:US
Mailing Address - Phone:310-784-6316
Mailing Address - Fax:310-784-6314
Practice Address - Street 1:855 MANHATTAN BEACH BLVD
Practice Address - Street 2:SUITE 201
Practice Address - City:MANHATTAN BEACH
Practice Address - State:CA
Practice Address - Zip Code:90266-4965
Practice Address - Country:US
Practice Address - Phone:310-939-1886
Practice Address - Fax:310-939-7861
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-21
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAG084871207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWG84871BMedicare ID - Type Unspecified
D43326Medicare UPIN