Provider Demographics
NPI:1992805444
Name:WINSTON, ROBERT A (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:A
Last Name:WINSTON
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Gender:M
Credentials:MD
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Mailing Address - Street 1:220 S HELBERTA AVE
Mailing Address - Street 2:UNIT D
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90277-3484
Mailing Address - Country:US
Mailing Address - Phone:310-374-2116
Mailing Address - Fax:310-372-9322
Practice Address - Street 1:3333 SKYPARK DR
Practice Address - Street 2:SUITE 220
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-5023
Practice Address - Country:US
Practice Address - Phone:310-257-5750
Practice Address - Fax:310-257-5753
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-24
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAG0281972084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA28197Medicaid
CA28197Medicaid