Provider Demographics
NPI:1447463997
Name:SPALDING, ROBERT JOHN (PA-C)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:JOHN
Last Name:SPALDING
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:20790 MADRONA AVE
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-3777
Mailing Address - Country:US
Mailing Address - Phone:310-781-2829
Mailing Address - Fax:310-781-2843
Practice Address - Street 1:20790 MADRONA AVE
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-3777
Practice Address - Country:US
Practice Address - Phone:310-781-2829
Practice Address - Fax:310-781-2843
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2021-11-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAPA14763363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant