Provider Demographics
NPI:1871534818
Name:ROBERT FIELDS M D & EVAN J BACHNER M D
Entity type:Organization
Organization Name:ROBERT FIELDS M D & EVAN J BACHNER M D
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EVAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:BACHNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-264-3344
Mailing Address - Street 1:7301 MEDICAL CENTER DR
Mailing Address - Street 2:SUITE 400
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-1904
Mailing Address - Country:US
Mailing Address - Phone:818-264-3344
Mailing Address - Fax:818-264-3433
Practice Address - Street 1:7301 MEDICAL CENTER DR
Practice Address - Street 2:SUITE 400
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-1904
Practice Address - Country:US
Practice Address - Phone:818-264-3344
Practice Address - Fax:818-264-3433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-09
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG72023207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA5316290001Medicare NSC
CAW17942Medicare ID - Type UnspecifiedGROUP MEDICARE NUMBER